| NPI | 1609932748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES P PROCINI Presidenet 856-983-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ 11048) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2020-08-22 |