| NPI | 1164858312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA M BARRETT Owner 732-846-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01534800) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01528700) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |