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1619378056
DIVINA SANTOS
BLOOMFIELD, NJ
NPI
1619378056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 22DI 02014600)
Enumeration Date
2014-09-04
Last Update Date
2014-09-04
Business Address
Dr. DIVINA SANTOS
38 BELLEVILLE AVE
BLOOMFIELD, NJ 07003-5222
Phone number: 973-566-0445
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Mailing Address
Dr. DIVINA SANTOS
38 BELLEVILLE AVE
BLOOMFIELD, NJ 07003-5222
Phone number: 973-566-0445
Copy
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