Creating Smiles Family Dental

NPI #1063867117 in Bloomfield, New Jersey

Provider Information

NPI Number
1063867117
Entity Type
Organization
Organization Name
Creating Smiles Family Dental
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 26, 2016
Last Updated
Apr 26, 2016

Practice Location

Address
1025 BROAD ST
Address 2
STE 3
ZIP Code
07003-2844
Phone
(973) 338-1100

Authorized Official

Name
ELIZABETH SANDOVAL
Title
OWNER
Phone
(973) 338-1100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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