| NPI | 1942541677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SKOLNICK President 908-464-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02353601) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02349301) |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223E0200X Dentist, Endodontics | |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2020-02-25 |