| NPI | 1851603641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVI WEISFOGEL President 732-261-2859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ di20783) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |