| Blooming Family Dental Llc | |
|
749 Bloomfield Ave Ste D West Caldwell NJ 07006-6717 | |
| (646) 673-4496 | |
| Not Available |
| Full Name | Blooming Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 749 Bloomfield Ave Ste D, West Caldwell, New Jersey |
| Authorized Official Name and Position | Theodore K Chang (OWNER) |
| Authorized Official Contact | 6466734496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Family Dental Llc 749 Bloomfield Ave Ste D West Caldwell NJ 07006-6717 Ph: (973) 787-8437 | Blooming Family Dental Llc 749 Bloomfield Ave Ste D West Caldwell NJ 07006-6717 Ph: (646) 673-4496 |
| NPI Number | 1699261347 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 03/30/2021 |
| Medicare PECOS PAC ID | 9739597329 |
|---|---|
| Medicare Enrollment ID | O20210420002259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699261347 | NPI | - | NPPES |
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