| NPI | 1972051928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ABBATICCHIO Owner 570-421-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI017432) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2019-02-20 |