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Organization
BRICK DENTAL CARE
Active
Organization
BRICK DENTAL CARE
Active
Parent organization
AGN DENTAL PRACTICES, PC
Other names
Brick Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
AGN DENTAL PRACTICES, PC
Authorized official
DR. ADMASU NERRI GIZACHEW DDS (PRESIDENT)
(231) 580-9205
Entity
Organization
Contact information
Practice address
1683 ROUTE 88 STE C, BRICK, NJ 08724-3072
(347) 455-1108
Mailing address
1683 ROUTE 88 STE C, BRICK, NJ 08724-3072
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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