| NPI | 1447563986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI DITTMAR Office Manager 732-414-2683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI20662) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |