| NPI | 1003038670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN SOLOMON President 732-257-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI00810800) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |