| NPI | 1396131587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH LAWRENCE DUNOFF Dental Director 609-790-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223G0001X Dentist General Practice | |
| 1223P0106X Dentist Oral and Maxillofacial Pathology | |
| 1223P0300X Dentist Periodontics | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-12-18 |