Organization

23 Branford Place Dental

Dentist in Newark, NJ(View on Map)

Legal Business Name

23 Branford Place Dental

NPI Number

1053656975

NPI Type

Organization

Enumeration Date

12/04/2012

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

22DI01972300

Contact
Information

Purpose

Mailing
Location

Address

81 BROADWAY
81 BROADWAY

City

Newark
Newark

State

NJ
NJ

Postal Code

07104-3801
07104-3801

Country

US
US

Telephone Number

(862) 237-7810
(862) 237-7810

Authorized Official

Name

Dr. Sheryl Gomes

Title or Position

DENTIST

Telephone Number

(862) 237-7810

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/19/2016

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