| NPI | 1225284789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JOEL REISMAN President 609-707-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22di01184100) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |