| NPI | 1194031609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WILBUR President 609-466-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02187400) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |