| NPI | 1033497920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE A BURGER Billing/Insurance Coordinator 856-589-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ D14419) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ D19515) |
| 1223G0001X Dentist, General Practice (Licence: NJ D24083) | |
| 1223G0001X Dentist, General Practice (Licence: NJ D23996) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |