| NPI | 1184845604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA R JIMENEZ Owner 732-774-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02193300) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-08-14 |