Aqua Dental Pc

NPI 1073785556 - Dentist - 1223G0001X

NPI Details
NPI 1073785556
Enumeration Date 03/25/2008
Last Updated 03/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RUBINA RUBINA
Position OWNER
Phone (315) 788-7888
Fax (315) 788-7833
Practice Location
1283 ARSENAL ST
WATERTOWN NY, 13601-2252, US
Phone (315) 788-7888
Fax (315) 788-7833
Business Location
1283 ARSENAL ST
WATERTOWN NY, 13601-2252, US
Phone (315) 788-7888
Fax (315) 788-7833
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 052355
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According to our database, Aqua Dental Pc NPI is 1073785556, taxonomy code is 1223G0001X and license number is 052355, license state is located at New York. Aqua Dental Pc physically located at 1283 Arsenal St, Watertown NY, 13601-2252. NPI Number 1033115704 has the healthcare provider type.

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1073785556 NPI number is provided on an as is basis without warranty of any kind. 1073785556 is maintained by the National Plan & Provider Enumeration System. The contents of Aqua Dental Pc are for informational purposes only.