| Braces At Brick Pa | |
|
990 Cedar Bridge Ave Ste B15 Brick NJ 08723-4158 | |
| (732) 477-1808 | |
| (732) 477-1490 |
| Full Name | Braces At Brick Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 990 Cedar Bridge Ave Ste B15, Brick, New Jersey |
| Authorized Official Name and Position | John M Young (OWNER) |
| Authorized Official Contact | 7324771808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braces At Brick Pa 990 Cedar Bridge Ave Ste B15 Brick NJ 08723-4158 Ph: (732) 477-1808 | Braces At Brick Pa 990 Cedar Bridge Ave Ste B15 Brick NJ 08723-4158 Ph: (732) 477-1808 |
| NPI Number | 1932683000 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932683000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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