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Contact Information

BRUCE R LUSTBADER, DMD
168 FRANKLIN CORNER RD
BLDG 2
LAWRENCEVILLE, NJ08648
 Phone: 609-896-2400
 Fax: 609-896-2401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for BRUCE R LUSTBADER · (Male)

NPI # 1104913516
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/06/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 11759
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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