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Organization
AMERICAN DENTAL CENTER OF NORTH BRUNSWICK, LLC
Active
Organization
AMERICAN DENTAL CENTER OF NORTH BRUNSWICK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALAN KOSOFSKY D.M.D. (PARTNER)
(732) 821-0500
Entity
Organization
Contact information
Practice address
1950 ROUTE 27, SUITE E, NORTH BRUNSWICK, NJ 08902-1300
(732) 821-0500
Mailing address
1950 ROUTE 27, SUITE E, NORTH BRUNSWICK, NJ 08902-1300
(732) 821-0500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI01084000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449601
—
NJ
01
—
1467675470
NPI
NJ
Enumeration date
01/29/2015
Last updated
01/29/2015
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