| NPI | 1700240975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KRUTYANSKY President 732-902-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DI20201) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |