| NPI | 1538382056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P RUTZ Owner 732-341-0341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI01545600) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |