Organization
BRACES AT BRICK PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M YOUNG JR. DDS (OWNER)
(732) 477-1808
Entity
Organization
Contact information
Practice address
990 CEDAR BRIDGE AVE STE B15, BRICK, NJ 08723-4158
(732) 477-1808
(732) 477-1490
Mailing address
990 CEDAR BRIDGE AVE STE B15, BRICK, NJ 08723-4158
(732) 477-1808
(732) 477-1490
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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