Organization
ADDIEGO FAMILY DENTAL LLC
Active
Other names
Cedar Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA KIM BRAMLETTE DMD (OWNER)
(609) 489-3360
Entity
Organization
Contact information
Practice address
950 ATLANTIC CITY BLVD, SUITE 13, BAYVILLE, NJ 08721-3564
(732) 269-1046
Mailing address
950 ATLANTIC CITY BLVD, SUITE 13, BAYVILLE, NJ 08721-3564
(732) 269-1046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI00971000
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02107800
NJ
1223G0001X
General Practice Dentistry
22DI02328300
NJ
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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