| NPI | 1205853942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA KREITMAN President 732-363-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NJ 22D100768300) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |