Family Dental Associates of Brookdale, L.l.c.

NPI #1871644419 in Bloomfield, New Jersey

Provider Information

NPI Number: 1871644419
Entity Type: Organization
Organization Name: Family Dental Associates of Brookdale, L.l.c.
Primary Specialty: Dentist
Enumeration Date: Jan 12, 2007
Last Updated: Jun 26, 2008

Practice Location

Address: 988 BROAD ST
City: Bloomfield
State: New Jersey
ZIP Code: 07003-2806
Phone: (973) 338-6667

Authorized Official

Name: DR. MICHAEL S. PANITCH, D.M.D.
Title: MEMBER-OWNER
Phone: (973) 338-6667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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