| NPI | 1942481676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE KASISA Dentist Dds 732-251-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02209900) |
| Enumeration Date | 2007-11-22 |
| Last Update Date | 2013-01-28 |