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Organization
WILKIE PAES, DDS PC
Active
Organization
WILKIE PAES, DDS PC
Active
Other names
Town Center Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1110 STATE ROUTE 55 STE 107, LAGRANGEVILLE, NY 12540-5048
(845) 486-4572
Mailing address
1110 STATE ROUTE 55 STE 107, LAGRANGEVILLE, NY 12540-5048
(845) 486-4572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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