| NPI | 1811075864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARTIN SHUBACH President 856-435-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ nj 11095) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-02-14 |