| NPI | 1487840070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODFREY P SHELTON Owner 973-622-3614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI10706) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2012-03-13 |