| NPI | 1437549409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M. LANE Owner 856-429-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01131400) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |