| NPI | 1225362304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON FEILER Executive Dental Director 999-999-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 20509) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 10967) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |