| NPI | 1538352620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY PERRY Office Manager 609-266-6658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 18248) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |