Organization
FAMILY & COSMETIC DENTISTRY OF N. BROAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIRA DELA TORRE DDS (OWNER AND MANAGER)
(908) 352-7730
Entity
Organization
Contact information
Practice address
757 N BROAD ST, ELIZABETH, NJ 07208-2482
(908) 352-7730
(908) 353-8453
Mailing address
757 N BROAD ST, ELIZABETH, NJ 07208-2482
(908) 352-7730
(908) 353-8453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NJ
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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