| NPI | 1578696787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BARRY GOLDBERG Member 732-494-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI01216700) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |