| NPI | 1831502350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE HEATH Office Manager 732-836-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02074800) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |