| NPI | 1205215050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MICHAEL KELNER Partner Owner 732-587-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI00899900) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |