| NPI | 1164453379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M WIENER Owner 856-983-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01493203) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-09-08 |