| NPI | 1982663639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR SALVADOR Owner 973-812-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 15934) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 16139) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |