| NPI | 1235341041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DANIEL SLEDGE Owner Dentist 973-678-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 22DI01231800) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |