| NPI | 1629118146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY S BUCIOR Office Manager 732-442-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |