| NPI | 1255482048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE H. PAULUSSEN Financial Manager 908-850-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 15179) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |