NPI | 1659660306 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN LOVELACE Dentist/Co Owner 856-875-1339 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02126100) |
Enumeration Date | 2011-04-04 |
Last Update Date | 2011-04-04 |