| NPI | 1144751835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KORWIN Owner 732-219-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI01390300) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |