| NPI | 1942797311 |
|---|---|
| Doing Business As | NUTLEY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MARIE HOLLYWOOD Dentist 973-667-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02508000) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |