Organization
BRUNSWICK DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE VARCHENKO DMD (DOCTOR)
(732) 955-6907
Entity
Organization
Contact information
Practice address
415 STATE ROUTE 18, SUITE 13, EAST BRUNSWICK, NJ 08816-2305
(732) 955-6907
(732) 955-6837
Mailing address
415 STATE ROUTE 18, SUITE 13, EAST BRUNSWICK, NJ 08816-2305
(732) 955-6907
(732) 955-6837
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02412000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233561
—
NJ
05
—
0235261
—
NJ
Enumeration date
07/02/2015
Last updated
07/02/2015
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