Organization
REVOLUTIONARY BRIER HILL LLC
Active
Parent organization
REVOLUTIONARY DENTAL MANAGEMENT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REVOLUTIONARY DENTAL MANAGEMENT LLC
Authorized official
MR. FRANK FORTE (MANAGING MEMBER)
(732) 239-0565
Entity
Organization
Contact information
Practice address
E7 BRIER HILL CT, EAST BRUNSWICK, NJ 08816-3336
(732) 239-0565
Mailing address
1151 BROAD ST STE 216, SHREWSBURY, NJ 07702-4328
(732) 239-0565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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