NPI | 1912917311 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL D DERMAN President 609-883-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NJ DI20984) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2020-08-22 |