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Organization
NEW COUNTRY DENTAL GROUP
Active
Organization
NEW COUNTRY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD DAMIANO DDS (SECRETARY)
(315) 455-7079
Entity
Organization
Contact information
Practice address
2806 COURT ST, SYRACUSE, NY 13208-3248
(315) 455-7079
(315) 454-9187
Mailing address
2806 COURT ST, SYRACUSE, NY 13208-3248
(315) 455-7079
(315) 454-9187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040344
NY
Other
Enumeration date
03/19/2007
Last updated
01/22/2013
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