| NPI | 1265722490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J. MERCURIO Dentist/Owner 732-842-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI01142300) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |