| Brunswick Valley Orthodontics, Llc | |
|
3176 Rt 27 Suite 1b Kendall Park NJ 08824 | |
| (732) 396-1900 | |
| (732) 398-9791 |
| Full Name | Brunswick Valley Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3176 Rt 27, Kendall Park, New Jersey |
| Authorized Official Name and Position | Frederic C Steritt (PRESIDENT) |
| Authorized Official Contact | 7323981900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brunswick Valley Orthodontics, Llc 3176 Rt 27 Suite 1b Kendall Park NJ 08824 Ph: (732) 396-1900 | Brunswick Valley Orthodontics, Llc 3176 Rt 27 Suite 1b Kendall Park NJ 08824 Ph: (732) 396-1900 |
| NPI Number | 1417106444 |
|---|---|
| Provider Enumeration Date | 09/15/2008 |
| Last Update Date | 09/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417106444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22D101068300 (New Jersey) | Primary |
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