Persily, Kevin Bruce

Persily, Kevin Bruce is an individual health care provider with primary practice located at 412 Pleasant Valley Way , West Orange NJ 07052. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Persily, Kevin Bruce can be contacted via phone (973) 731-2468.

Contact Information

Primary practice address
412 Pleasant Valley Way West Orange NJ 07052
Phone: (973) 731-2468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12019 New Jersey

Profile Details

NPI number 1861532053
LBN Legal business name Persily, Kevin Bruce
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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