| NPI | 1275998247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J DEFELICE President 609-978-4411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02278100) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |