NPI | 1467739714 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE W FLUGRAD Owner 732-442-1860 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 12795) |
Enumeration Date | 2011-11-14 |
Last Update Date | 2012-06-01 |