| NPI | 1568532885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN R COTIN President Dentist 732-922-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |