| Revolutionary Brier Hill Llc | |
|
E7 Brier Hill Ct East Brunswick NJ 08816-3336 | |
| (732) 239-0565 | |
| Not Available |
| Full Name | Revolutionary Brier Hill Llc |
|---|---|
| Speciality | Dentist |
| Location | E7 Brier Hill Ct, East Brunswick, New Jersey |
| Authorized Official Name and Position | Frank Forte (MANAGING MEMBER) |
| Authorized Official Contact | 7322390565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolutionary Brier Hill Llc 1151 Broad St Ste 216 Shrewsbury NJ 07702-4328 Ph: (732) 239-0565 | Revolutionary Brier Hill Llc E7 Brier Hill Ct East Brunswick NJ 08816-3336 Ph: (732) 239-0565 |
| NPI Number | 1891251831 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 02/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891251831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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