| NPI | 1730249897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE R. EISENBERG Dentist 609-520-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 16495) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 16220) |
| 122300000X Dentist (Licence: NJ 16568) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-01-08 |