| NPI | 1114435898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED E. BERRY Dentist 856-429-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02555101) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01380900) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |