| NPI | 1982841763 |
|---|---|
| Doing Business As | MAIN STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK GIORNO GIORNO Owner/Doctor 856-241-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 018081) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |