Blooming Family Dental LLC
NPI #1699261347 in West Caldwell, New Jersey
Provider Information
- NPI Number
- 1699261347
- Entity Type
- Organization
- Organization Name
- Blooming Family Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 5, 2018
- Last Updated
- Sep 5, 2025
Practice Location
- Address
- 749 BLOOMFIELD AVE STE D
- City
- West Caldwell
- State
- New Jersey
- ZIP Code
- 07006-6717
- Phone
- (646) 673-4496
Authorized Official
- Name
- DR. THEODORE K CHANG, DDS
- Title
- OWNER
- Phone
- (646) 673-4496
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
| Dentist - General Practice — General Practice |
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