| NPI | 1235285461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOSEPH PETERSON President 908-232-1027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI00917300) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |