# BRADLEY DENTAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316183650
- **Authorized official:** DR. KOHAN KEVIN YEE D.D.S. (OWNER)
- **Authorized official phone:** (201) 385-6900

## Contact information

- **Practice address:** 35 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2118
- **Practice address phone:** (201) 385-6900
- **Mailing address:** 35 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2118
- **Mailing address phone:** (201) 385-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI02380401 | NJ | Yes |

## Other

- **Enumeration date:** 12/16/2008
- **Last updated:** 06/23/2014