| All State Dental Llc | |
|
546 Bloomfield Ave Newark NJ 07107-1338 | |
| (973) 482-3492 | |
| (973) 482-3613 |
| Full Name | All State Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 546 Bloomfield Ave, Newark, New Jersey |
| Authorized Official Name and Position | Maria Luba (OWNER) |
| Authorized Official Contact | 9734823492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All State Dental Llc 546 Bloomfield Ave Newark NJ 07107-1338 Ph: (973) 482-3492 | All State Dental Llc 546 Bloomfield Ave Newark NJ 07107-1338 Ph: (973) 482-3492 |
| NPI Number | 1598158966 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 03/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598158966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02420900 (New Jersey) | Primary |
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