Organization
BRADLEY DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOHAN KEVIN YEE D.D.S. (OWNER)
(201) 385-6900
Entity
Organization
Contact information
Practice address
35 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2118
(201) 385-6900
Mailing address
35 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2118
(201) 385-6900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02380401
NJ
Other
Enumeration date
12/16/2008
Last updated
06/23/2014
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