| NPI | 1043512643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA A KOROL Office Manager 856-488-1923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI02139700) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |