| NPI | 1134465115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TODRES President 732-901-7214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02314000) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |