| Children's Dental Specialists, Llc | |
|
382 W Passaic Ave #2 Bloomfield NJ 07003-5552 | |
| (973) 338-1383 | |
| Not Available |
| Full Name | Children's Dental Specialists, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 382 W Passaic Ave, Bloomfield, New Jersey |
| Authorized Official Name and Position | Hassam Sultan (PEDIATRIC DENTIST) |
| Authorized Official Contact | 8605019590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Specialists, Llc 92 Burnett Ave 101 Maplewood NJ 07040-2981 Ph: (860) 501-9590 | Children's Dental Specialists, Llc 382 W Passaic Ave #2 Bloomfield NJ 07003-5552 Ph: (973) 338-1383 |
| NPI Number | 1881120020 |
|---|---|
| Provider Enumeration Date | 05/09/2017 |
| Last Update Date | 05/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881120020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22DI02567900 (New Jersey) | Primary |
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