Individual
DR. KARL KENT BRUSTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 PATERSON AVE, HOBOKEN, NJ 07030-6169
(814) 312-6263
Mailing address
675 MONMOUTH ST APT 411, JERSEY CITY, NJ 07310-1326
(814) 312-6263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02904900
NJ
Other
Enumeration date
06/16/2022
Last updated
06/21/2022
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