# MITCHELL BRUDNO DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154443026
- **Authorized official:** MITCHELL BRUDNO DMD (OWNER SOLE MEMBER LLC)
- **Authorized official phone:** (856) 429-4249

## Contact information

- **Practice address:** 1021 MARLTON PIKE WEST, CHERRY HILL, NJ 08002
- **Practice address phone:** (856) 429-4249
- **Mailing address:** 1021 MARLTON PIKE WEST, CHERRY HILL, NJ 08002
- **Mailing address phone:** (856) 429-4249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | NJDI15818 | NJ | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/22/2020