| NPI | 1265559066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH M LI Dentist & Owner 732-238-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI 13712) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2020-08-22 |