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Organization
MICHAEL B. MCGRATH, DDS, PC
Active
Organization
MICHAEL B. MCGRATH, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BURKE MCGRATH DDS (PRESIDENT)
(315) 478-5719
Entity
Organization
Contact information
Practice address
5108 VELASKO RD, SYRACUSE, NY 13215-1953
(315) 478-5719
(315) 478-5734
Mailing address
5108 VELASKO RD, SYRACUSE, NY 13215-1953
(315) 478-5719
(315) 478-5734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
027642
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00576903
—
NY
Enumeration date
04/02/2007
Last updated
02/14/2012
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