| NPI | 1174690382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN H GROLNICK Dentist Corp Secretary 856-848-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 6433) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 9145) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2009-09-22 |