| NPI | 1568006583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ROCHELLE BOWEN Orthodontist 856-495-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |