| NPI | 1720138464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONA KOPANJA Office Manager 609-771-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02155600) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-07-31 |