| NPI | 1962227983 |
|---|---|
| Other Name | 58 PEAKS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEREMY GLICK Dentist 609-412-3613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |