| NPI | 1023273695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC JOSEPH PUKENAS Dentist/Owner 609-645-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ DI 02299000) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |