| NPI | 1558410613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A EDWARDS Office Manager 609-654-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ D08964) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |