| NPI | 1174582043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL ELLIOT ELFMAN Member/Owner 856-429-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DIO1520600) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-08-22 |