Organization
COMPASSIONATE CARE ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBEKAH BREVARD DMD (ORAL SURGEON)
(609) 385-7843
Entity
Organization
Contact information
Practice address
1035 N BLACK HORSE PIKE, SUITE #7, WILLIAMSTOWN, NJ 08094-2840
(856) 740-1300
(856) 740-1302
Mailing address
1035 N BLACK HORSE PIKE, SUITE #7, WILLIAMSTOWN, NJ 08094-2840
(856) 740-1300
(856) 740-1302
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
22DIO2212104
NJ
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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