| NPI | 1124294632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M RUSH-ESMAIL Dentist/Vice President 856-234-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ DI02023100) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ DI020236400) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |