| NPI | 1902954480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVIN BRUCE SHERMAN President 732-257-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI00978500) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ 22DI02292000) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02295100) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |