| NPI | 1821339086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EAN JAMES President 856-361-6703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CT 10729) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |