| NPI | 1649261033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW EICHEN Owner President 856-428-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: NJ 17335) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-08-22 |