Organization
KINDERSMILE COMMUNITY ORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE MCGRATH D.D.S (FOUNDER)
(973) 744-7003
Entity
Organization
Contact information
Practice address
10 BROAD ST, BLOOMFIELD, NJ 07003-2524
(973) 744-7003
Mailing address
10 BROAD ST, BLOOMFIELD, NJ 07003-2524
(973) 744-7003
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
NJ I17834
NJ
Other
Enumeration date
06/24/2016
Last updated
08/15/2016
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