| NPI | 1366898462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD PRAGER Co Owner 609-879-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI020487) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ DI020911) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |