Organization
MANILA DENTAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIVINA GARCIA SANTOS DDS (PRESIDENT)
(973) 566-0445
Entity
Organization
Contact information
Practice address
38 BELLEVILLE AVE, BLOOMFIELD, NJ 07003
(973) 566-0445
(973) 566-9397
Mailing address
38 BELLEVILLE AVE, BLOOMFIELD, NJ 07003
(973) 566-0445
(973) 566-9397
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI20146
NJ
Other
Enumeration date
10/04/2006
Last updated
09/04/2014
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