| NPI | 1194934851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY ALEXANDER Director Of Operations 609-978-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI016289) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |