# MANILA DENTAL CARE PA

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

## Provider details

- **NPI number:** 1639265176
- **Authorized official:** DR. DIVINA GARCIA SANTOS DDS (PRESIDENT)
- **Authorized official phone:** (973) 566-0445

## Contact information

- **Practice address:** 38 BELLEVILLE AVE, BLOOMFIELD, NJ 07003
- **Practice address phone:** (973) 566-0445
- **Practice address fax:** (973) 566-9397
- **Mailing address:** 38 BELLEVILLE AVE, BLOOMFIELD, NJ 07003
- **Mailing address phone:** (973) 566-0445
- **Mailing address fax:** (973) 566-9397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI20146 | NJ | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 09/04/2014