| NPI | 1104009943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R BECK Owner 856-205-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ DI16646) |
| Enumeration Date | 2007-12-16 |
| Last Update Date | 2007-12-16 |