Organization
HOLLYWOOD PEDIATRIC DENTISTRY
Active
Other names
Nutley Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY MARIE HOLLYWOOD DMD (DENTIST)
(973) 667-5507
Entity
Organization
Contact information
Practice address
500 FRANKLIN AVE, NUTLEY, NJ 07110-1720
(973) 667-5507
(973) 667-6150
Mailing address
500 FRANKLIN AVE, NUTLEY, NJ 07110-1720
(973) 667-5507
(973) 667-6150
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02508000
NJ
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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