| NPI | 1447706189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANELLA FLORES Manager 732-822-1087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22D100993700) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |