| NPI | 1497805139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRONSTEIN President 856-848-6239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ NJ 17378) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |