| NPI | 1982058541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETT ROTEM Practice Administrator 732-341-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI01843600) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |