| NPI | 1275750077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED IAN BERGER President 732-920-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ DI02172700) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |