| NPI | 1093876856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ALLEN YORGEY President 609-654-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 11729) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |