Organization
THE DENTAL DIFFERENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J MOSMEN DMD, MS (OWNER)
(732) 785-0002
Entity
Organization
Contact information
Practice address
419 NASSAU ST, BRICK, NJ 08723-5025
(732) 785-0002
(732) 785-2887
Mailing address
1610 ROUTE 88, SUITE 201, BRICK, NJ 08724-3018
(173) 278-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02229600
NJ
Other
Enumeration date
03/09/2015
Last updated
06/01/2021
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