| NPI | 1285176602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LINN SCOTT General Partner 609-713-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ DI0013296) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |