| Hollywood Pediatric Dentistry | |
|
500 Franklin Ave Nutley NJ 07110-1720 | |
| (973) 667-5507 | |
| (973) 667-6150 |
| Full Name | Hollywood Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 500 Franklin Ave, Nutley, New Jersey |
| Authorized Official Name and Position | Kimberly Marie Hollywood (DENTIST) |
| Authorized Official Contact | 9736675507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Pediatric Dentistry 500 Franklin Ave Nutley NJ 07110-1720 Ph: (973) 667-5507 | Hollywood Pediatric Dentistry 500 Franklin Ave Nutley NJ 07110-1720 Ph: (973) 667-5507 |
| NPI Number | 1942797311 |
|---|---|
| Provider Enumeration Date | 04/20/2018 |
| Last Update Date | 04/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942797311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22DI02508000 (New Jersey) | Primary |
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