Organization · Type 2 NPI
Bradley J Convissar DMD PA
Dental Clinic/Center · Mount Laurel, NJ
NPI number
1316607757
Active
Practice location
2 Rancocas Blvd
Mount Laurel, NJ 08054-2057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1316607757
Bradley J Convissar DMD PA's National Provider Identifier is 1316607757, issued on Dec 27, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mount Laurel, NJ. The record was last updated on Dec 27, 2021.