Revolutionary Brier Hill LLC

NPI #1891251831 in East Brunswick, New Jersey

Provider Information

NPI Number: 1891251831
Entity Type: Organization
Organization Name: Revolutionary Brier Hill LLC
Subpart: Yes (part of a larger organization)
Parent Organization: REVOLUTIONARY DENTAL MANAGEMENT LLC
Primary Specialty: Dentist
Enumeration Date: Feb 14, 2019
Last Updated: Feb 14, 2019

Practice Location

Address: E7 BRIER HILL CT
City: East Brunswick
State: New Jersey
ZIP Code: 08816-3336
Phone: (732) 239-0565

Authorized Official

Name: MR. FRANK FORTE
Title: MANAGING MEMBER
Phone: (732) 239-0565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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