Organization
BERLEY DENTAL LLC
Active
Other names
Berley Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (DIRECTOR OF REVENUE CYCLE)
(612) 859-0444
Entity
Organization
Contact information
Practice address
1205 HWY 35, OCEAN, NJ 07712-4077
(732) 531-8020
Mailing address
1205 HWY 35, OCEAN, NJ 07712-4077
(732) 531-8020
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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