| Creating Smiles Family Dental | |
|
1025 Broad St Ste 3 Bloomfield NJ 07003-2844 | |
| (973) 338-1100 | |
| Not Available |
| Full Name | Creating Smiles Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1025 Broad St, Bloomfield, New Jersey |
| Authorized Official Name and Position | Elizabeth Sandoval (OWNER) |
| Authorized Official Contact | 9733381100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Smiles Family Dental 1025 Broad St Ste 3 Bloomfield NJ 07003-2844 Ph: (973) 338-1100 | Creating Smiles Family Dental 1025 Broad St Ste 3 Bloomfield NJ 07003-2844 Ph: (973) 338-1100 |
| NPI Number | 1063867117 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063867117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 053693-1 (New York) | Primary |
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