| NPI | 1285806513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S HANNAH Owner 732-286-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI14682) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-06-23 |