EAST SIDE DENTAL SPECIALISTS P.C.
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1326149618- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7201 E GENESEE ST, FAYETTEVILLE, NY, 130661262
- Phone
- (315) 637-3930
- Fax
- (315) 637-4291
Specialties & Taxonomies
Dentist, Endodontics
License: NY #045805
Dentist, Oral and Maxillofacial Surgery
Primary License: NY #041419