Organization
BRAM DENTAL GROUP
Active
Other names
Haddon Heights Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIL DHULIPALLA (CFO BUSINESS ADMINISTRATOR)
(201) 463-6281
Entity
Organization
Contact information
Practice address
607 STATION AVE, HADDON HEIGHTS, NJ 08035-1906
(856) 547-0520
(856) 547-8685
Mailing address
13 ELDERBERRY DR, MEDFORD, NJ 08055-3802
(201) 403-7615
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02448500
NJ
Other
Enumeration date
01/18/2018
Last updated
12/04/2020
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