NPI | 1962857573 |
---|---|
Entity Type | Organization |
Authorized Contact | REBEKAH BREVARD Oral Surgeon 609-385-7843 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NJ 22DIO2212104) |
Enumeration Date | 2016-05-02 |
Last Update Date | 2016-05-02 |