NPI 1104246701

Next Best Level

Organisation Dental Clinic/Center Bloomfield, NJ

Practice location

Address: 1018 Broad St, Bloomfield, NJ 07003-2884
Phone: (973) 338-9191
Fax: (973) 338-1514

Authorised official

Name: Yousef Moussa
Title: Dentist
Phone: (973) 338-9191

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 22DI02294800 (NJ)

Other Clinic/Center providers in New Jersey →

Registry record

NPI: 1104246701
Entity type: Organization
NPI issued: 22 Apr 2014
Record last updated: 22 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.