Organization
BRUNSWICK VALLEY ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC C STERITT D.M.D. (PRESIDENT)
(732) 398-1900
Entity
Organization
Contact information
Practice address
3176 RT 27, SUITE 1B, KENDALL PARK, NJ 08824
(732) 396-1900
(732) 398-9791
Mailing address
3176 RT 27, SUITE 1B, KENDALL PARK, NJ 08824
(732) 396-1900
(732) 398-9791
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22D101068300
NJ
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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