1500 GRANT BLVD DENTISTRY, PLLC
Organization (NPI-2)
Active
Clinic/Center, Dental
Provider Information
- NPI Number
1497263685- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1500 GRANT BLVD, SYRACUSE, NY, 132083014
- Phone
- (315) 472-3414
- Fax
- (315) 472-4320
Specialties & Taxonomies
Clinic/Center, Dental
Primary License: NY #051141