| NPI | 1861635385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS E COLLINS Owner 732-458-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI01226700) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2009-04-14 |