Individual
DR. JUSTIN SCOTT TENBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-4465
(856) 265-1673
Mailing address
4 E JIMMIE LEEDS RD UNIT GALLOWAY, GALLOWAY, NJ 08205-4465
(856) 265-1673
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02903604
NJ
Other
Enumeration date
10/19/2021
Last updated
04/07/2025
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