| NPI | 1952469322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL SEBILIA Accounts Manger 973-227-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ 22616) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: NJ 21585) |
| 1223G0001X Dentist, General Practice (Licence: NJ 11780) | |
| 1223G0001X Dentist, General Practice (Licence: NJ 21633) | |
| 1223G0001X Dentist, General Practice (Licence: NJ 22353) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 21981) | |
| 1223P0300X Dentist, Periodontics (Licence: NJ 18734) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 19847) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 21526) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |