| NPI | 1891656252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SIMCOX Director Revenue Cycle Management 201-400-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-11-24 |
| Last Update Date | 2025-11-24 |