| NPI | 1952791857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALAN KOSOFSKY Partner 732-821-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI01084000) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |