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Organization
VILLAGE DENTAL GROUP OF CENTRAL SQUARE
Active
Organization
VILLAGE DENTAL GROUP OF CENTRAL SQUARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA M. ANDERSON (OFFICE MANAGER)
(315) 676-3001
Entity
Organization
Contact information
Practice address
537 S MAIN ST, CENTRAL SQUARE, NY 13036-3500
(315) 676-3001
(315) 676-3785
Mailing address
PO BOX 369, CENTRAL SQUARE, NY 13036-0369
(315) 676-3001
(315) 676-3785
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40049
NY
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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