| NPI | 1679994180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT M FORING Owner 732-531-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02478000) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |