NPI | 1942819644 |
---|---|
Doing Business As | IRIE DENTAL SPA |
Entity Type | Organization |
Authorized Contact | RUTH ELAINE PARKIN-EDWIN Dentist 973-673-4743 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-07-28 |
Last Update Date | 2023-02-01 |