| NPI | 1184854614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALAN KOSOFSKY Director 732-662-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 10840) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |