| NPI | 1689892606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA L. EAST Office Manager 609-909-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |