| The Dental Difference LLC | |
|
419 Nassau St Brick NJ 08723-5025 | |
| (732) 785-0002 | |
| (732) 785-2887 |
| Full Name | The Dental Difference LLC |
|---|---|
| Speciality | Dentist |
| Location | 419 Nassau St, Brick, New Jersey |
| Authorized Official Name and Position | Kevin J Mosmen (OWNER) |
| Authorized Official Contact | 7327850002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Difference LLC 1610 Route 88 Suite 201 Brick NJ 08724-3018 Ph: (173) 278-5000 | The Dental Difference LLC 419 Nassau St Brick NJ 08723-5025 Ph: (732) 785-0002 |
| NPI Number | 1710370242 |
|---|---|
| Provider Enumeration Date | 03/09/2015 |
| Last Update Date | 06/01/2021 |
| Certification Date | 06/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710370242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02229600 (New Jersey) | Primary |
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