| NPI | 1134262579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHEL LEE FRIEDMAN Owner 732-741-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ NJ 22DI01479600) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-01-17 |