Organization
CITY OF NEWARK
Active
Organization
CITY OF NEWARK
Active
Other names
Newark Dept of Health and Community Wellness Dental Mobile Unit
Organization subpart
No
Provider details
NPI number
Authorized official
KETLEN ALSBROOK (CEO & DIRECTOR)
(973) 733-5310
Entity
Organization
Contact information
Practice address
394 UNIVERSITY AVE, NEWARK, NJ 07102-1221
(800) 734-7083
Mailing address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(973) 424-4271
(973) 353-8438
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
09/09/2025
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