| NPI | 1982707782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZELIA D CANNON President 973-729-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI7009) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |