Individual
DR. BRADLEY CURTIS ENTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
176 KINDERKAMACK RD, PARK RIDGE, NJ 07656-1384
(201) 930-9370
Mailing address
176 KINDERKAMACK RD, PARK RIDGE, NJ 07656-1384
(201) 930-9370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02811800
NJ
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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