| NPI | 1558565010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE G CHAKCER Doctor 609-883-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ DI16170) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |