| NPI | 1679674774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENE WOLF Orthodontist 908-931-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-04-22 |