| NPI | 1841078466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SEGALL Member/Doctor 732-942-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |