| NPI | 1790984177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER CRAIG NETTUNE President 908-766-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |