| NPI | 1366504862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW C EISENBERG Dentist 609-520-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 16220) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 16568) |
| 122300000X Dentist (Licence: NJ 16495) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |