Organization
BRUNSWICK DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAIBHAVI SHAH DDS (DENTIST, OWNER)
(732) 545-7776
Entity
Organization
Contact information
Practice address
127 LIVINGSTON AVE, NEW BRUNSWICK, NJ 08901-2475
(732) 545-7776
Mailing address
127 LIVINGSTON AVE, NEW BRUNSWICK, NJ 08901-2475
(732) 545-7776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02418200
NJ
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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