| NPI | 1699877951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN PETER BERKOWITZ Owner Dentist 908-522-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DIO1353600) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2015-03-06 |