| NPI | 1992125926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BIXBY Owner 732-859-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22DI02038600) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |