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Braces At Brick PA

Dentist, Orthodontics and Dentofacial Orthopedics in Brick, NJ. Organization (NPI-2).

NPI number1932683000
StatusActive
Last updated in NPPESSep 24, 2018

Details

NPI
1932683000
Entity type
Organization (NPI-2)
Legal business name
Braces At Brick PA
Organization subpart
No
Enumeration date
Sep 24, 2018
Last updated
Sep 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics––Yes

Practice location

990 Cedar Bridge Ave Ste B15
Brick, NJ 08723-4158

Phone 732-477-1808 · Fax 732-477-1490

Mailing address

990 Cedar Bridge Ave Ste B15
Brick, NJ 08723-4158

Phone 732-477-1808 · Fax 732-477-1490

Authorized official

John M Young
Owner
7324771808

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Orthodontics and Dentofacial Orthopedics Dentistry providers in Brick, NJ

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