| NPI | 1235412230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH ARCHIBLE Owner / CEO 862-763-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NJ 22DI02331400) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |