Organization
BRICKWORKS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND FRANK MENSH (CONTROLLER)
(609) 625-0505
Entity
Organization
Contact information
Practice address
5429 HARDING HWY., SUITE 101, MAYS LANDINBG, NJ 08330-2263
(609) 625-0505
(609) 625-8002
Mailing address
5429 HARDING HWY., SUITE 101, MAYS LANDINBG, NJ 08330-2263
(609) 625-0505
(609) 625-8002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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