| NPI | 1770626939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL W. NUNN President 732-349-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22D101778500) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |