| Bloomfield Ave Dental, Llc | |
|
223 Bloomfield Ave Newark NJ 07104-1104 | |
| (973) 715-5963 | |
| Not Available |
| Full Name | Bloomfield Ave Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 223 Bloomfield Ave, Newark, New Jersey |
| Authorized Official Name and Position | Michael E. Skolnick (CEO) |
| Authorized Official Contact | 9737155963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomfield Ave Dental, Llc 223 Bloomfield Ave Newark NJ 07104-1104 Ph: (973) 715-5963 | Bloomfield Ave Dental, Llc 223 Bloomfield Ave Newark NJ 07104-1104 Ph: (973) 715-5963 |
| NPI Number | 1114650231 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114650231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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