| NPI | 1538618756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DESIPIO Chairman Of The Board 856-627-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 22DI01821002) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI01749100) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |