| NPI | 1700202462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E SULLIVAN Owner 609-670-9927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI015377) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |