| NPI | 1225059330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BENCIE President Owner 856-692-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22D101649200) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-07-07 |