NPI | 1053857680 |
---|---|
Doing Business As | OCEAN GROVE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | SARAH BREVET Dentist 732-233-5079 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D102152300) |
Enumeration Date | 2017-01-06 |
Last Update Date | 2017-01-06 |