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Organization

CRANBROOK DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD J. FEDERICO DMD (OWNER)
(609) 587-0049
Entity
Organization

Contact information

Practice address
2312 WHITEHORSE MERCERVILLE RD, SUITE 200A, MERCERVILLE, NJ 08619-1953
(609) 587-0049
Mailing address
2312 WHITEHORSE MERCERVILLE RD, SUITE 200A, MERCERVILLE, NJ 08619-1953
(609) 587-0049

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01914200
NJ

Other

Enumeration date
04/04/2007
Last updated
08/22/2020
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