| NPI | 1447641667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE DIBONA Owner 732-530-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI01588000) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |