IDENT DENTAL AT MIDDLETOWN
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Pathology
Provider Information
- NPI Number
1811121379- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 453 ROUTE 211 E SUITE 103, MIDDLETOWN, NY, 109402206
- Phone
- (888) 433-6820
Specialties & Taxonomies
Dentist, Endodontics
License: NY #048328
Dentist, Periodontics
License: NY #051732
Dentist, Oral and Maxillofacial Pathology
Primary License: NY #049967