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Organization
WADING RIVER COMPLETE DENTAL CARE PC
Active
Organization
WADING RIVER COMPLETE DENTAL CARE PC
Active
Other names
Clifford Baynon DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD BAYNON DDS (DENTIST)
(631) 929-8709
Entity
Organization
Contact information
Practice address
6278 ROUTE 25A, WADING RIVER, NY 11792
(631) 929-8709
(631) 929-8371
Mailing address
6278 ROUTE 25A, WADING RIVER, NY 11792
(631) 929-8709
(631) 929-8371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047469
NY
Other
Enumeration date
12/09/2006
Last updated
08/22/2020
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