NPI | 1023220217 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCUS SLOAN Owner 732-286-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ di01564700) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2007-09-04 |