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General NPI Number Information
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NPI Number | 1669532529
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Entity Type | Organization
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Legal Business Name | STEVEN BRESLER DENTAL LLC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 921 E. COUNTY LINE RD.
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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Country | US
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Telephone | 732-364-3066
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Fax | 732-364-1092
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Provider Business Mailing Address
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Address Line | 921 E. COUNTY LINE RD.
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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Country | US
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Telephone | 732-364-3066
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Fax | 732-364-1092
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN BRESLER
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Credential | DDS
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Telephone | 732-539-5322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 22D101193600
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License Number State | NJ
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