| NPI | 1114310695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON FEILER Owner 732-750-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |