| 23 Branford Place Dental | |
|
81 Broadway Newark NJ 07104-3801 | |
| (862) 237-7810 | |
| (862) 237-7807 |
| Full Name | 23 Branford Place Dental |
|---|---|
| Speciality | Dentist |
| Location | 81 Broadway, Newark, New Jersey |
| Authorized Official Name and Position | Sheryl Gomes (DENTIST) |
| Authorized Official Contact | 8622377810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 23 Branford Place Dental 81 Broadway Newark NJ 07104-3801 Ph: (862) 237-7810 | 23 Branford Place Dental 81 Broadway Newark NJ 07104-3801 Ph: (862) 237-7810 |
| NPI Number | 1053656975 |
|---|---|
| Provider Enumeration Date | 12/04/2012 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053656975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI01972300 (New Jersey) | Primary |
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