| NPI | 1780898601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEVEN SCHAMBRA President 732-846-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NJ D17565) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |