NPI | 1164596268 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURENCE DAVID SUSSMAN V. Pres 732-566-7648 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2006-11-20 |
Last Update Date | 2008-06-24 |