| NPI | 1538185087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIS ALPHONSE VU Dentist 908-719-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 22DI02050100) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-01-08 |