| NPI | 1992189179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ALBANO Member 609-238-2853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02344100) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |