# KINDERSMILE COMMUNITY ORAL HEALTH CENTER

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

## Provider details

- **NPI number:** 1497106090
- **Authorized official:** DR. NICOLE MCGRATH D.D.S (FOUNDER)
- **Authorized official phone:** (973) 744-7003

## Contact information

- **Practice address:** 10 BROAD ST, BLOOMFIELD, NJ 07003-2524
- **Practice address phone:** (973) 744-7003
- **Mailing address:** 10 BROAD ST, BLOOMFIELD, NJ 07003-2524
- **Mailing address phone:** (973) 744-7003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | NJ I17834 | NJ | Yes |

## Other

- **Enumeration date:** 06/24/2016
- **Last updated:** 08/15/2016