| NPI | 1578639712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MENKER Sole Mbr 908-756-5468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NJ DI17700) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |