| NPI | 1306976881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN P MUNIZ Front Desk 732-238-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI22570) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-07-29 |