# BLOOMFIELD AVE DENTAL, LLC

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

## Provider details

- **NPI number:** 1114650231
- **Authorized official:** MICHAEL E. SKOLNICK DMD (CEO)
- **Authorized official phone:** (973) 715-5963

## Contact information

- **Practice address:** 223 BLOOMFIELD AVE, NEWARK, NJ 07104-1104
- **Practice address phone:** (973) 715-5963
- **Mailing address:** 223 BLOOMFIELD AVE, NEWARK, NJ 07104-1104
- **Mailing address phone:** (973) 715-5963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2022
- **Last updated:** 07/06/2022