| NPI | 1700285962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. A. STRANQUIST Director Of Operations 856-206-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |