Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DI11920 | NJ |
NPI | 1003905407 |
---|---|
Provider Name | Dr. David Mitchell Press |
First Address | Clifton, NJ 07013-3519 |
Second Address | Clifton, NJ 07013-3519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 08/07/2007 |