| NPI | 1013002682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J BRANNON Owner 908-859-0363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI018201) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |