| NPI | 1851428478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY HOWARD LUSTIG Owner 732-356-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01148000) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |