| NPI | 1326444373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET BELICH Owner 732-294-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 17594) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: NJ 17303) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |