Individual
MINGI NICOLE SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 BROAD ST, BLOOMFIELD, NJ 07003-2524
(973) 744-7003
Mailing address
10 BROAD ST, BLOOMFIELD, NJ 07003-2524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
06465801
NY
1223G0001X
General Practice Dentistry
Primary
22DI03107500
NJ
Other
Enumeration date
06/28/2023
Last updated
09/17/2025
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