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 |