# 23 BRANFORD PLACE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053656975
- **Authorized official:** DR. SHERYL GOMES DMD (DENTIST)
- **Authorized official phone:** (862) 237-7810

## Contact information

- **Practice address:** 81 BROADWAY, NEWARK, NJ 07104-3801
- **Practice address phone:** (862) 237-7810
- **Practice address fax:** (862) 237-7807
- **Mailing address:** 81 BROADWAY, NEWARK, NJ 07104-3801
- **Mailing address phone:** (862) 237-7810
- **Mailing address fax:** (862) 237-7807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01972300 | NJ | Yes |

## Other

- **Enumeration date:** 12/04/2012
- **Last updated:** 01/19/2016