NPI | 1164964169 |
---|---|
Entity Type | Organization |
Authorized Contact | KERI IRVING Member 856-270-2373 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02219204) |
Enumeration Date | 2016-11-08 |
Last Update Date | 2016-11-08 |