| NPI | 1346526654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RICHARD BANKER President 908-232-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ DI19715-01) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |