| Organization Name: | DR. LAURENCE BREMMER, DMD, PA |
| NPI Number: | 1275542128 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURENCE BREMMER (PRESIDENT) |
| Mailing Address: | 1162 Springfield Ave Mountainside |
| State: | NJ US |
| Postal Code: | 070922906 |
| Phone Number: | 9087892777 |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DI11517 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |