| NPI | 1679620041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M BURNS Owner 908-789-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI01259700) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |