| NPI | 1821202888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CHUSTCKIE Partner 732-271-1220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ 15057) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |