| 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 |