Organization
BLOOMFIELD DENTAL ARTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUSEF MOUSSA D.D.S. (PRESIDENT)
(973) 338-9191
Entity
Organization
Contact information
Practice address
1018 BROAD ST, BLOOMFIELD, NJ 07003-2884
(973) 338-9191
Mailing address
1018 BROAD ST, BLOOMFIELD, NJ 07003-2884
(973) 338-9191
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D102294800
NJ
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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