| NPI | 1184743908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DENNIS SHEKLIAN Owner 732-449-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 15140) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-05-06 |