| NPI | 1588626196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN BICKING Office Manager 856-424-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 1859201) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-08-22 |