Individual
CHERISH IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 LEMOINE AVE STE 203, FORT LEE, NJ 07024-5731
(201) 592-0758
Mailing address
513 ROFF AVE UNIT B, PALISADES PARK, NJ 07650-1807
(646) 785-9488
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DI02510700
NJ
Other
Enumeration date
08/10/2012
Last updated
10/17/2018
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