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1023187697
FAMILY & COSMETIC DENTISTRY OF N. BROAD, LLC
ELIZABETH, NJ
NPI
1023187697
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Entity Type
Organization
Authorized Contact
ELVIRA DELA TORRE
Owner And Manager
908-352-7730
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-11-07
Last Update Date
2020-08-22
Business Address
FAMILY & COSMETIC DENTISTRY OF N. BROAD, LLC
757 N BROAD ST
ELIZABETH, NJ 07208-2482
Phone number: 908-352-7730
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Mailing Address
FAMILY & COSMETIC DENTISTRY OF N. BROAD, LLC
757 N BROAD ST
ELIZABETH, NJ 07208-2482
Phone number: 908-352-7730
Copy
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