NPI | 1417042185 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH R SHAPIRO Partner/Dentist 732-390-1911 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 14395) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 15879) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2012-12-14 |