| NPI | 1740305127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS SANDOR JR Managing Member 732-462-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI0076300) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |