NPI | 1316010440 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE O'BRIEN Office Administrator 908-725-3377 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 14478) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2015-09-14 |