Organization
BLOOMING DENTAL & IMPLANT CENTER OF ROCKAWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE CHANG DDS (OWNER DENTIST)
(973) 363-0233
Entity
Organization
Contact information
Practice address
321 MOUNT HOPE AVE UNIT Q, ROCKAWAY, NJ 07866-1663
(973) 363-0233
Mailing address
31 MILLINGTON DR, MIDLAND PARK, NJ 07432-1110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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