| NPI | 1992974406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P. WARD Director 201-866-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI01474700) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |