| NPI | 1487196481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZABETH SLOANE Sole Member 908-725-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI01407600) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |