| Brookdale Dental Group | |
|
1218 Broad St Bloomfield NJ 07003-3031 | |
| (973) 338-3700 | |
| (973) 338-7560 |
| Full Name | Brookdale Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1218 Broad St, Bloomfield, New Jersey |
| Authorized Official Name and Position | Vincent Paul Devincentis (PARTNER) |
| Authorized Official Contact | 9733383700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookdale Dental Group 1218 Broad St Bloomfield NJ 07003-3031 Ph: (973) 338-3700 | Brookdale Dental Group 1218 Broad St Bloomfield NJ 07003-3031 Ph: (973) 338-3700 |
| NPI Number | 1659576643 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659576643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DIO1738000 (New Jersey) | Primary |
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