Bloomfield Ave Dental Spec, LLC

NPI #1306567656 in Newark, New Jersey

Provider Information

NPI Number: 1306567656
Entity Type: Organization
Organization Name: Bloomfield Ave Dental Spec, LLC
Primary Specialty: Dentist
Enumeration Date: Sep 6, 2022
Last Updated: Mar 30, 2023

Practice Location

Address: 223 BLOOMFIELD AVE STE 2
City: Newark
State: New Jersey
ZIP Code: 07104-1104
Phone: (973) 435-8100

Authorized Official

Name: MICHAEL E SKOLNICK, DMD
Title: PRESIDENT
Phone: (973) 435-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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