| NPI | 1356401004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED J. VECCHIONE Chief Executive Officer 609-520-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 22DI01486600) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-09-04 |