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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Active Organization

Dental Clinic · BLOOMFIELD, NJ

Registration Details

NPI Number
1104246701
Provider Type
Organization
NPI Issued
Apr 22, 2014 (12.018025698492 yrs)
Last Updated
Apr 22, 2014
License
22DI02294800 (NJ)

Practice Information

Address
1018 BROAD ST
BLOOMFIELD, NJ, 070032884
Browse NJ providers · Browse ZIP 07003
Phone
9733389191
Fax
9733381514
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in BLOOMFIELD, NJ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.