| NPI | 1427895408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN HAMPP Billing Manager 732-688-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2025-03-12 |