| NPI | 1144607342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN RICE Credentialing Manager 609-315-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 14922) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2023-11-10 |