Dentistry For Children, P.a. | |
382 W Passaic Ave Bloomfield NJ 07003-5552 | |
(973) 338-1383 | |
Not Available |
Full Name | Dentistry For Children, P.a. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 382 W Passaic Ave, Bloomfield, New Jersey |
Authorized Official Name and Position | Linda Anne Cloonan (OFFICE MANAGER) |
Authorized Official Contact | 9733381383 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dentistry For Children, P.a. 382 W Passaic Ave Bloomfield NJ 07003-5552 Ph: (973) 338-1383 | Dentistry For Children, P.a. 382 W Passaic Ave Bloomfield NJ 07003-5552 Ph: (973) 338-1383 |
NPI Number | 1730102864 |
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Provider Enumeration Date | 07/26/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730102864 | NPI | - | NPPES |
2597608 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 10726 (New Jersey) | Primary |
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