# EARL B BROKER DDS LLC

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

## Provider details

- **NPI number:** 1659451821
- **Authorized official:** EARL B BROKER DDS (OWNER)
- **Authorized official phone:** (856) 770-9200

## Contact information

- **Practice address:** 2301 EVESHAM RD, SUITE 301 PAVILIONS OF VOORHEES, VOORHEES, NJ 08043
- **Practice address phone:** (856) 770-9200
- **Practice address fax:** (856) 770-1838
- **Mailing address:** 2301 EVESHAM RD, SUITE 301 PAVILIONS OF VOORHEES, VOORHEES, NJ 08043
- **Mailing address phone:** (856) 770-9200
- **Mailing address fax:** (856) 770-1838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7972 | NJ | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 08/22/2020