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 |