Sharon C. Brackelmanns, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Randolph, NJ

NPI

1376552109

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

17793 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-08-08

Last updated

2007-07-08