| NPI | 1114164811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE KOSZTYU President 609-896-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01965300) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |