| NPI | 1679706543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RASNER Owner 856-692-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI012735) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NJ DI016906) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |