| NPI | 1013162544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KRUTYANSKY Dentist 732-452-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI20201) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |