| NPI | 1043398324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY J CONWAY-QUINN Member 856-795-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ D117741) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ D117730) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |