| NPI | 1194806208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M. GENERSON President 908-788-6475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 10151) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |