| 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 |