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Organization
PALMA AND NARDOZZA DENTAL SERVICES, PC
Active
Organization
PALMA AND NARDOZZA DENTAL SERVICES, PC
Active
Parent organization
PALMA AND NARDOZZA DENTAL SERVICES, PC
Other names
Baldwinsville Gentle Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMA AND NARDOZZA DENTAL SERVICES, PC
Authorized official
CASEY MORSE (SENIOR CREDENTIALING SPECIALIST)
(856) 272-4735
Entity
Organization
Contact information
Practice address
30 W GENESEE ST, BALDWINSVILLE, NY 13027-1126
(315) 635-3671
(315) 635-6482
Mailing address
30 W GENESEE ST, BALDWINSVILLE, NY 13027-1126
(315) 635-3671
(315) 635-6482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042879
NEW YORK STATE BOARD FOR DENTISTRY
NY
Enumeration date
06/03/2022
Last updated
06/03/2022
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