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Organization
BRAM DENTAL GROUP
Active
Organization
BRAM DENTAL GROUP
Active
Other names
Haddon Heights Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIL DHULIPALLA (CFO BUSINESS ADMINISTRATOR)
(201) 463-6281
Entity
Organization
Contact information
Practice address
607 STATION AVE, HADDON HEIGHTS, NJ 08035-1906
(856) 547-0520
(856) 547-8685
Mailing address
13 ELDERBERRY DR, MEDFORD, NJ 08055-3802
(201) 403-7615
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02448500
NJ
Other
Enumeration date
01/18/2018
Last updated
12/04/2020
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