| NPI | 1225293863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONEN GOLD Owner/President 908-232-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NJ 21463) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |