| NPI | 1396257952 |
|---|---|
| Doing Business As | JERSEY SHORE UNIVERSITY MEDICAL CENTER-DENTAL |
| Entity Type | Organization |
| Authorized Contact | IHOR SAWCZUK President 551-996-2002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |