Organization
ANTHONY G & VINCENT DEVINCENTIS
Active
Other names
Brookdale Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT PAUL DEVINCENTIS (PARTNER)
(973) 338-3700
Entity
Organization
Contact information
Practice address
1218 BROAD ST, BLOOMFIELD, NJ 07003-3031
(973) 338-3700
(973) 338-7560
Mailing address
1218 BROAD ST, BLOOMFIELD, NJ 07003-3031
(973) 338-3700
(973) 338-7560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DIO1738000
NJ
Other
Enumeration date
06/19/2007
Last updated
06/24/2008
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