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Organization
BLOOMFIELD AVE DENTAL SPEC, LLC
Active
Organization
BLOOMFIELD AVE DENTAL SPEC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E SKOLNICK DMD (PRESIDENT)
(973) 435-8100
Entity
Organization
Contact information
Practice address
223 BLOOMFIELD AVE STE 2, NEWARK, NJ 07104-1104
(973) 435-8100
Mailing address
223 BLOOMFIELD AVE STE 2, NEWARK, NJ 07104-1104
(973) 435-8100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
03/30/2023
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