| NPI | 1407008931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD KOZLOVSKY Owner 732-625-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: NJ 22DI02185300) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2016-06-29 |