| NPI | 1487810974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JOHN VERGOS Surgeon 732-920-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ DI13715) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |