Organization
EARL B BROKER DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL B BROKER DDS (OWNER)
(856) 770-9200
Entity
Organization
Contact information
Practice address
2301 EVESHAM RD, SUITE 301 PAVILIONS OF VOORHEES, VOORHEES, NJ 08043
(856) 770-9200
(856) 770-1838
Mailing address
2301 EVESHAM RD, SUITE 301 PAVILIONS OF VOORHEES, VOORHEES, NJ 08043
(856) 770-9200
(856) 770-1838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7972
NJ
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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