| East Brunswick Dental Studio, Llc | |
|
573 Cranbury Rd Suite A-1 East Brunswick NJ 08816-4026 | |
| (732) 613-1931 | |
| Not Available |
| Full Name | East Brunswick Dental Studio, Llc |
|---|---|
| Speciality | Dentist |
| Location | 573 Cranbury Rd, East Brunswick, New Jersey |
| Authorized Official Name and Position | Genevieve M Fernandes (DENTIST) |
| Authorized Official Contact | 7326131931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Brunswick Dental Studio, Llc 573 Cranbury Rd Suite A-1 East Brunswick NJ 08816-4026 Ph: (732) 613-1931 | East Brunswick Dental Studio, Llc 573 Cranbury Rd Suite A-1 East Brunswick NJ 08816-4026 Ph: (732) 613-1931 |
| NPI Number | 1841319209 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841319209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI19669 (New Jersey) | Primary |
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