| NPI | 1871869750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DAVID LURIE President 732-545-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DIO1846503) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |