| NPI | 1760910046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY NAVILIO Owner 609-978-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: NJ DI17809) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2018-06-16 |