| NPI | 1982856357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY STILLMAN Owner 201-945-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI0199090) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |