| NPI | 1750627964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA GUNN Front Desk 908-965-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI091960700) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |