| NPI | 1356360465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M. WEEDON Owner 908-707-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01640300) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI01796000) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2022-07-21 |