| NPI | 1871997825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI BETH MEADVIN Dentist 856-296-6139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02311200) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |