Organization
BRIDGEWATER FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARWAN BASSIL BASSIL D.M.D. (OWNER)
(908) 722-6666
Entity
Organization
Contact information
Practice address
676 ROUTE 202/206, BRIDGEWATER, NJ 08807-1761
(908) 722-6666
(908) 722-6667
Mailing address
676 ROUTE 202/206, BRIDGEWATER, NJ 08807-1761
(908) 722-6666
(908) 722-6667
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
22 DI 02249700
NJ
1223G0001X
General Practice Dentistry
22 DI 02312200
NJ
1223G0001X
General Practice Dentistry
Primary
22DI020751
NJ
Other
Enumeration date
06/22/2012
Last updated
07/30/2015
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