| NPI | 1225335466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LAZZARA Dentist 732-414-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: NJ 22DI01990500) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-03-03 |