| NPI | 1598897803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD FRANK GERHARD Owner President 732-530-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ DI012502) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |