East Brunswick Dental Studio, LLC

NPI #1841319209 in East Brunswick, New Jersey

Provider Information

NPI Number: 1841319209
Entity Type: Organization
Organization Name: East Brunswick Dental Studio, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 28, 2007
Last Updated: Nov 3, 2009

Practice Location

Address: 573 CRANBURY RD
Address 2: SUITE A-1
City: East Brunswick
State: New Jersey
ZIP Code: 08816-4026
Phone: (732) 613-1931

Authorized Official

Name: GENEVIEVE M FERNANDES, B.D.S., D.D.S.
Title: DENTIST
Phone: (732) 613-1931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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