Organization
BRADEN DENTAL OF SOUTH JERSEY PC
Active
Parent organization
BRADEN DENTAL OF SOUTH JERSEY PC
Other names
Dentistry of South Jersey-Pennsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRADEN DENTAL OF SOUTH JERSEY PC
Authorized official
DOUGLAS SHERLY (PRESIDENT)
(609) 560-5902
Entity
Organization
Contact information
Practice address
160 S BROADWAY, PENNSVILLE, NJ 08070-2220
(856) 678-5124
Mailing address
160 S BROADWAY, PENNSVILLE, NJ 08070-2220
(856) 678-5124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
05/21/2024
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