| NPI | 1548636400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE NOVASACK President 609-927-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI00995300) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02608500) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |