# DENTAL GROUP OF EAST BRUNSWICK

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

## Provider details

- **NPI number:** 1366875528
- **Authorized official:** NAHEL YANNI D.D.S (DENTIST)
- **Authorized official phone:** (732) 254-0033

## Contact information

- **Practice address:** 385 CRANBURY RD, EAST BRUNSWICK, NJ 08816-3000
- **Practice address phone:** (732) 254-0033
- **Practice address fax:** (732) 238-8869
- **Mailing address:** 385 CRANBURY RD, EAST BRUNSWICK, NJ 08816-3000
- **Mailing address phone:** (732) 254-0033
- **Mailing address fax:** (732) 238-8869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22DI2208200 | NJ | Yes |

## Other

- **Enumeration date:** 08/12/2013
- **Last updated:** 08/12/2013