| NPI | 1083822555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHODES President 732-431-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI01733600) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |