DR. Divina Santos

NPI #1619378056 in Bloomfield, New Jersey

Provider Information

NPI Number: 1619378056
Entity Type: Individual
Name: DR. Divina Santos
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 4, 2014
Last Updated: Sep 4, 2014

Practice Location

Address: 38 BELLEVILLE AVE
City: Bloomfield
State: New Jersey
ZIP Code: 07003-5222
Phone: (973) 566-0445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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