| NPI | 1588541163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON SLAVICK Office Manager 732-747-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |