| NPI | 1114116308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE DIBONA Dentist/Owner 732-530-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI15880) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2019-04-10 |