# BRICKWORKS DENTAL, LLC

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

## Provider details

- **NPI number:** 1649529124
- **Authorized official:** MR. RAYMOND FRANK MENSH (CONTROLLER)
- **Authorized official phone:** (609) 625-0505

## Contact information

- **Practice address:** 5429 HARDING HWY., SUITE 101, MAYS LANDINBG, NJ 08330-2263
- **Practice address phone:** (609) 625-0505
- **Practice address fax:** (609) 625-8002
- **Mailing address:** 5429 HARDING HWY., SUITE 101, MAYS LANDINBG, NJ 08330-2263
- **Mailing address phone:** (609) 625-0505
- **Mailing address fax:** (609) 625-8002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2012
- **Last updated:** 08/30/2012