| NPI | 1841477510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN GLENN BRENNER Owner 908-203-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ D101896700) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-12-28 |