New Country Dental Group

NPI 1043334352 - Dentist - 1223G0001X

NPI Details
NPI 1043334352
Enumeration Date 03/19/2007
Last Updated 01/22/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL EDWARD MICHAEL
Position SECRETARY
Phone (315) 455-7079
Fax (315) 454-9187
Practice Location
2806 COURT ST
SYRACUSE NY, 13208-3248, US
Phone (315) 455-7079
Fax (315) 454-9187
Business Location
2806 COURT ST
SYRACUSE NY, 13208-3248, US
Phone (315) 455-7079
Fax (315) 454-9187
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 040344
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According to our database, New Country Dental Group NPI is 1043334352, taxonomy code is 1223G0001X and license number is 040344, license state is located at New York. New Country Dental Group physically located at 2806 Court St, Syracuse NY, 13208-3248. NPI Number 1033115704 has the healthcare provider type.

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1043334352 NPI number is provided on an as is basis without warranty of any kind. 1043334352 is maintained by the National Plan & Provider Enumeration System. The contents of New Country Dental Group are for informational purposes only.