NPI | 1528282662 |
---|---|
Entity Type | Organization |
Authorized Contact | GILBERT GLASS Owner 732-571-8844 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01000400) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |