| NPI | 1780783894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT D GALKIN President 732-750-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02077400) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |