| NPI | 1124417365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GEORGE ZEIK Dentist/Owner 732-863-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 24342) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |