| NPI | 1639493125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MILMAN Dentist 732-414-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02151903) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2013-08-01 |