| NPI | 1972877298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BENJAMIN HONRYCHS Owner/Dentist 856-753-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 1570300) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 2408500) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |