Organization

Bloomfield Ave Dental, Llc

Dentist in Newark, NJ(View on Map)

Legal Business Name

Bloomfield Ave Dental, Llc

NPI Number

1114650231

NPI Type

Organization

Enumeration Date

07/06/2022

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

223 BLOOMFIELD AVE
223 BLOOMFIELD AVE

City

Newark
Newark

State

NJ
NJ

Postal Code

07104-1104
07104-1104

Country

US
US

Telephone Number

(973) 715-5963
(973) 715-5963

Authorized Official

Name

Michael Skolnick

Title or Position

CEO

Telephone Number

(973) 715-5963

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

Data last updated by provider on 07/06/2022

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