| NPI | 1386722718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LOUIS ZIRKIN Owner 732-972-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ DI18372) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: NJ DI13109) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |