Grove Street Care Dental Inc.
NPI #1376719450 in Montclair, New Jersey
Provider Information
- NPI Number
- 1376719450
- Entity Type
- Organization
- Organization Name
- Grove Street Care Dental Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 7, 2008
- Last Updated
- May 7, 2008
Practice Location
- Address
- 129 GROVE ST
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-4049
- Phone
- (973) 746-0922
Authorized Official
- Name
- DR. SAMUEL LOPEZ, D.M.D.
- Title
- PRESIDENT
- Phone
- (973) 746-0922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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