| NPI | 1134164312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M LEVESON Managing Member 609-497-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ DI16655) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |