| NPI | 1477761450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYEN BARBELL Vice President 856-489-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ D18637) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |