| NPI | 1235533241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON M KEYES Dentist 609-971-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DIO2191700) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DIO101150701) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |