| NPI | 1801870134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS PARKER BODE Dentist 732-458-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 13063) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |