| NPI | 1093876658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON PRESTUP Director Of Periodontics 732-750-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 09460) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |