| NPI | 1699053355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J CLEAVE Owner 908-852-2215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NJ 22DI01371800) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-08-18 |