| NPI | 1407973977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E SHEPPARD President 856-589-8012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01177300) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |