| NPI | 1629251905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JACOB Dentist/Owner 732-651-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI953600) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |