NPI | 1033426473 |
---|---|
Doing Business As | NATIONWIDE DENTAL PLAN |
Entity Type | Organization |
Authorized Contact | PAUL JOHN GILLICH CEO/Dental Director 732-286-0336 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2010-09-07 |
Last Update Date | 2010-10-26 |