| NPI | 1326706532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SONES Partner 732-473-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-12-04 |
| Last Update Date | 2021-12-04 |