| NPI | 1730503111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER SAINT-CYR Owner 856-206-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: NJ 22DI024266) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |