NPI | 1013106673 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE CHAO Co Owner 732-926-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI11746) |
Enumeration Date | 2007-10-19 |
Last Update Date | 2007-10-19 |