| NPI | 1063667400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN O SHEERAN Office Manager 732-531-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ DI15503) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |