| NPI | 1922484781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FALKOWSKI Office Manager 856-751-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02035100) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |