Organization
BRIGHTSMILES FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN S MALCOLM DMD (DENTIST)
(856) 875-8775
Entity
Organization
Contact information
Practice address
402 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 875-8775
(856) 875-8717
Mailing address
402 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1094
(856) 875-8775
(856) 875-8717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01975700
NJ
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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