| NPI | 1942719109 |
|---|---|
| Doing Business As | OLD TAPPAN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | NICOLAS FREDA Orthodontist/Owner 908-295-6508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02593700) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-21 |