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Individual

DR. WENDELL HOLDBROOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
250 HADDONFIELD BERLIN RD, SUITE 101, GIBBSBORO, NJ 08026-1228
(856) 783-0444
(856) 783-0445
Mailing address
250 HADDONFIELD BERLIN RD, SUITE 101, GIBBSBORO, NJ 08026-1228
(856) 783-0444
(856) 783-0445

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22D102298203
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262231139
NJ
Enumeration date
01/18/2006
Last updated
12/28/2012
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