| NPI | 1033518121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. A. STRANQUIST Director Of Operations 856-206-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |