| NPI | 1063556348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA A BRIDGES President 732-946-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D101616800) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |