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Organization
ALLEN FOREST CROOMS DDS PA
Active
Organization
ALLEN FOREST CROOMS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN FOREST CROOMS DDS PA (PRESIDENT TREASURER)
(973) 824-9085
Entity
Organization
Contact information
Practice address
814 SOUTH TENTH STREET, NEWARK, NJ 07108-1501
(973) 824-9085
(973) 621-6447
Mailing address
814 SOUTH TENTH STREET, NEWARK, NJ 07108-1501
(973) 824-9085
(973) 621-6447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D100662900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009778
HORIZON BCBS
NJ
01
—
111225
AETNA DMO
NJ
05
—
2688808
—
NJ
Enumeration date
03/20/2007
Last updated
08/22/2020
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