Bloomfield Ave Dental, LLC

NPI #1114650231 in Newark, New Jersey

Provider Information

NPI Number: 1114650231
Entity Type: Organization
Organization Name: Bloomfield Ave Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Jul 6, 2022
Last Updated: Jul 6, 2022

Practice Location

Address: 223 BLOOMFIELD AVE
City: Newark
State: New Jersey
ZIP Code: 07104-1104
Phone: (973) 715-5963

Authorized Official

Name: MICHAEL E. SKOLNICK, DMD
Title: CEO
Phone: (973) 715-5963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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