| NPI | 1689942922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN BONIAKOWSKI Business Manager 732-238-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02257001) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2016-01-21 |