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 |