DANIEL E. BRUST

LAKEWOOD, NJ
NPI1376586263
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: NJ  DI16232)
Enumeration Date2006-06-14
Last Update Date2007-07-08
Business Address
DR. DANIEL E. BRUST D.M.D
402 W COUNTY LINE RD
LAKEWOOD, NJ 08701-1211
Phone number: 732-370-4204
Mailing Address
DR. DANIEL E. BRUST D.M.D
402 W COUNTY LINE RD
LAKEWOOD, NJ 08701-1211
Phone number: 732-370-4204