| NPI | 1417005596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL RUBENSTEIN Director 732-477-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 14574) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 10967) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |