| NPI | 1275604951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELIZABETH DESIMONE Owner 609-737-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 17927) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |