Allen Forest Crooms DDS PA
Dentist in Newark, NJ. Organization (NPI-2).
NPI number1598880296
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1598880296
- Entity type
- Organization (NPI-2)
- Legal business name
- Allen Forest Crooms DDS PA
- Organization subpart
- No
- Enumeration date
- Mar 20, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 22D100662900 | NJ | Yes |
Practice location
814 South Tenth StreetNewark, NJ 07108-1501
Phone 973-824-9085 · Fax 973-621-6447
Mailing address
814 South Tenth StreetNewark, NJ 07108-1501
Phone 973-824-9085 · Fax 973-621-6447
Authorized official
Allen Forest Crooms
President Treasurer
9738249085
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