| NPI | 1588901375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHARLES STREKO Owner 908-654-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ DI12094) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |