NPI | 1215325345 |
---|---|
Entity Type | Organization |
Authorized Contact | BORIS KLEYMAN Owner 732-803-1948 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: DC DEN1001129) |
Enumeration Date | 2014-12-23 |
Last Update Date | 2014-12-23 |