| NPI | 1184611121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY S KLEIN President/Dentist 609-586-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01198200) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |