| NPI | 1063561025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE S. REID Director, Dental Suite 732-937-8653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ DI019921) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-12-15 |