| NPI | 1811177363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P. FISHBERG President 732-577-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01480400) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-13 |