| NPI | 1760525620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE M FLEXON Office Administrator 856-784-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 15377) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 19794) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |