# BLOOMFIELD AVE DENTAL SPEC, LLC

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

## Provider details

- **NPI number:** 1306567656
- **Authorized official:** MICHAEL E SKOLNICK DMD (PRESIDENT)
- **Authorized official phone:** (973) 435-8100

## Contact information

- **Practice address:** 223 BLOOMFIELD AVE STE 2, NEWARK, NJ 07104-1104
- **Practice address phone:** (973) 435-8100
- **Mailing address:** 223 BLOOMFIELD AVE STE 2, NEWARK, NJ 07104-1104
- **Mailing address phone:** (973) 435-8100

## Taxonomy

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

## Other

- **Enumeration date:** 09/06/2022
- **Last updated:** 03/30/2023