| NPI | 1699731570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NEIL TENNENBAUM President 856-589-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ 10192) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2007-07-16 |