# CRANBROOK DENTAL, LLC

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

## Provider details

- **NPI number:** 1790807428
- **Authorized official:** DR. RICHARD J. FEDERICO DMD (OWNER)
- **Authorized official phone:** (609) 587-0049

## Contact information

- **Practice address:** 2312 WHITEHORSE MERCERVILLE RD, SUITE 200A, MERCERVILLE, NJ 08619-1953
- **Practice address phone:** (609) 587-0049
- **Mailing address:** 2312 WHITEHORSE MERCERVILLE RD, SUITE 200A, MERCERVILLE, NJ 08619-1953
- **Mailing address phone:** (609) 587-0049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22DI01914200 | NJ | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 08/22/2020