| NPI | 1831231844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DENISE SUTTON President 973-763-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ DIO18963) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |