23 Branford Place Dental

NPI 1053656975 - Dentist - 122300000X

NPI Details
NPI 1053656975
Enumeration Date 12/04/2012
Last Updated 01/19/2016
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHERYL SHERYL
Position DENTIST
Phone (862) 237-7810
Fax (862) 237-7807
Practice Location
81 BROADWAY
NEWARK NJ, 07104-3801, US
Phone (862) 237-7810
Fax (862) 237-7807
Business Location
81 BROADWAY
NEWARK NJ, 07104-3801, US
Phone (862) 237-7810
Fax (973) 424-0089
Toxanomy
Taxonomy Code 122300000X
License State New Jersey
License Number 22DI02517700
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According to our database, 23 Branford Place Dental NPI is 1053656975, taxonomy code is 122300000X and license number is 22DI02517700, license state is located at New Jersey. 23 Branford Place Dental physically located at 81 Broadway, Newark NJ, 07104-3801. NPI Number 1033115704 has the healthcare provider type.

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1053656975 NPI number is provided on an as is basis without warranty of any kind. 1053656975 is maintained by the National Plan & Provider Enumeration System. The contents of 23 Branford Place Dental are for informational purposes only.