| NPI | 1992866537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SEGALL Director Of Orthodontics 732-750-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: NJ 09744) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |