| NPI | 1164993259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN PALASCIANO Financial Coordinhator 732-972-0918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |