| NPI | 1174646228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA PODBOR ROGERS President 973-633-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 12120) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-04-06 |