| NPI | 1003052382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MERILEE JACOBSON Dentist/Employee For Dr Andrea Haye 908-483-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ DI019830) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |