| NPI | 1740344860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H GOODMAN President 609-737-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22D100961500) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2014-08-15 |