| NPI | 1588729362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE G WILLIAMS Practice Manager 856-692-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2014-08-22 |