| NPI | 1366810343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HENRY HOGAN Owner 908-687-7036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2022-11-18 |