Organization
KIDZDENT-CHILDRENS DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAVAN BRUNSDEN DMD (OWNER)
(732) 679-2323
Entity
Organization
Contact information
Practice address
2455 ROUTE 516, OLD BRIDGE, NJ 08857-1892
(732) 679-2323
(732) 679-8896
Mailing address
2455 ROUTE 516, OLD BRIDGE, NJ 08857-1892
(732) 679-2323
(732) 679-8896
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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