East Side Dental Specialists P.c.

NPI 1326149618 - Dentist - 1223E0200X

NPI Details
NPI 1326149618
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOSEPH W JOSEPH
Position PARTNER
Phone (315) 637-3930
Fax (315) 637-4291
Practice Location
7201 E GENESEE ST
FAYETTEVILLE NY, 13066-1262, US
Phone (315) 637-3930
Fax (315) 637-4291
Business Location
7201 E GENESEE ST
FAYETTEVILLE NY, 13066-1262, US
Phone (315) 637-3930
Fax (315) 637-4291
Toxanomy
Taxonomy Code 1223E0200X
License State New York
License Number 045805
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According to our database, East Side Dental Specialists P.c. NPI is 1326149618, taxonomy code is 1223E0200X and license number is 045805, license state is located at New York. East Side Dental Specialists P.c. physically located at 7201 E Genesee St, Fayetteville NY, 13066-1262. NPI Number 1033115704 has the healthcare provider type.

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1326149618 NPI number is provided on an as is basis without warranty of any kind. 1326149618 is maintained by the National Plan & Provider Enumeration System. The contents of East Side Dental Specialists P.c. are for informational purposes only.