NPI | 1689792715 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHANNA P REED Treasurer 856-857-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: NJ DI019194) |
Additional Taxonomies | 122300000X Dentist (Licence: NJ DI019404) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2020-08-22 |