| NPI | 1821188053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R KAZMIERSKI President 856-596-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |