THEODORE A NIEBLOOM

WEST ORANGE, NJ
NPI1689750705
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NJ  22DI01604200)
Enumeration Date2006-10-31
Last Update Date2016-10-05
Business Address
Dr. THEODORE A NIEBLOOM DMD
101 OLD SHORT HILLS ROAD
WEST ORANGE, NJ 07052
Phone number: 973-736-7616
Mailing Address
Dr. THEODORE A NIEBLOOM DMD
101 OLD SHORT HILLS ROAD
WEST ORANGE, NJ 07052
Phone number: 973-736-7616
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