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Organization

BRADEN DENTAL OF SOUTH JERSEY PC

Active
Parent organization
BRADEN DENTAL OF SOUTH JERSEY PC
Other names
Dentistry of South Jersey - West Deptford
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRADEN DENTAL OF SOUTH JERSEY PC
Authorized official
DR. DOUGLAS SHERLY D.M.D, (PRESIDENT)
(609) 560-5902
Entity
Organization

Contact information

Practice address
640 KINGS HWY, WEST DEPTFORD, NJ 08096-3145
(856) 845-4225
(856) 845-4221
Mailing address
640 KINGS HWY, WEST DEPTFORD, NJ 08096-3145
(856) 845-4225
(856) 845-4221

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02152700
NJ

Other

Enumeration date
06/10/2008
Last updated
05/21/2024
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