| NPI | 1972737583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GRUNSTEIN Owner 201-658-8839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02153300) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02283000) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |