NPI | 1003083049 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JAMES CONNOLLY Owner/Doctor 856-582-0090 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI01228000) |
Enumeration Date | 2008-05-09 |
Last Update Date | 2016-12-27 |