Brookside Family Dental Corp
NPI #1053585612 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1053585612
- Entity Type
- Organization
- Organization Name
- Brookside Family Dental Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 15, 2008
- Last Updated
- Apr 15, 2008
Practice Location
- Address
- 399 HOOVER AVE
- Address 2
- SUITE 1
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003
- Phone
- (973) 566-6161
Authorized Official
- Name
- KINDA HANNA YACOUB
- Title
- DDS
- Phone
- (973) 566-6161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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