Organization
CHILDREN'S DENTAL SPECIALISTS, LLC
Active
Other names
Dentistry for Children, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSAM SULTAN DMD (PEDIATRIC DENTIST)
(860) 501-9590
Entity
Organization
Contact information
Practice address
382 W PASSAIC AVE, #2, BLOOMFIELD, NJ 07003-5552
(973) 338-1383
Mailing address
92 BURNETT AVE, 101, MAPLEWOOD, NJ 07040-2981
(860) 501-9590
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02567900
NJ
Other
Enumeration date
05/09/2017
Last updated
05/09/2017
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