| NPI | 1376628842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PATRICK O'BRIEN Owner 908-756-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ DI017398) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |