| Blossom Smiles Dental Association Llc | |
|
134 Ridge Rd Lyndhurst NJ 07071-1244 | |
| (973) 337-7444 | |
| Not Available |
| Full Name | Blossom Smiles Dental Association Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 134 Ridge Rd, Lyndhurst, New Jersey |
| Authorized Official Name and Position | Rola Owies (OWNER) |
| Authorized Official Contact | 9733377444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Smiles Dental Association Llc 19 Marlo Rd Wayne NJ 07470-6034 Ph: (973) 337-7444 | Blossom Smiles Dental Association Llc 134 Ridge Rd Lyndhurst NJ 07071-1244 Ph: (973) 337-7444 |
| NPI Number | 1407686660 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407686660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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