| NPI | 1386706968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA L. KANDOU Partner 732-560-5988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI018523) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ DI019658) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |