| NPI | 1386196129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GERSCH Owner 908-272-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |