| Bloomfield Pediatric Dentistry Pllc | |
|
34 Jerome Ave Ste 200 Bloomfield CT 06002-2463 | |
| (203) 927-0717 | |
| Not Available |
| Full Name | Bloomfield Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 34 Jerome Ave Ste 200, Bloomfield, Connecticut |
| Authorized Official Name and Position | John Wong (OWNER) |
| Authorized Official Contact | 2039270717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomfield Pediatric Dentistry Pllc 138 Balfour Dr West Hartford CT 06117-2900 Ph: (860) 521-2316 | Bloomfield Pediatric Dentistry Pllc 34 Jerome Ave Ste 200 Bloomfield CT 06002-2463 Ph: (203) 927-0717 |
| NPI Number | 1417452541 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 03/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417452541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7829 (Connecticut) | Primary |
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