NPI | 1962992925 |
---|---|
Entity Type | Organization |
Authorized Contact | ADELFI E MOLINA Owner 201-543-1790 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI01993700) |
Enumeration Date | 2018-05-15 |
Last Update Date | 2018-05-15 |