| NPI | 1568546638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUANN B VAN LIEW President 609-242-3567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ D120394) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |