| NPI | 1619107521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NEAL FEUER Owner 856-589-2298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ DI15034) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |