| NPI | 1639437502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAREK DWORAK Member 856-986-7565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DJ02308300) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |