Organization
AMERICAN DENTAL CENTER OF NORTH BRUNSWICK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALAN KOSOFSKY D.M.D. (PARTNER)
(732) 821-0500
Entity
Organization
Contact information
Practice address
1950 ROUTE 27, SUITE E, NORTH BRUNSWICK, NJ 08902-1300
(732) 821-0500
Mailing address
1950 ROUTE 27, SUITE E, NORTH BRUNSWICK, NJ 08902-1300
(732) 821-0500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI01084000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449601
—
NJ
01
—
1467675470
NPI
NJ
Enumeration date
01/29/2015
Last updated
01/29/2015
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