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1376586263
DANIEL E. BRUST
LAKEWOOD, NJ
NPI
1376586263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ DI16232)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
Dr. DANIEL E. BRUST D.M.D
402 W COUNTY LINE RD
LAKEWOOD, NJ 08701-1211
Phone number: 732-370-4204
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Mailing Address
Dr. DANIEL E. BRUST D.M.D
402 W COUNTY LINE RD
LAKEWOOD, NJ 08701-1211
Phone number: 732-370-4204
Copy
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