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Organization
SOUTHERN TIER DENTISTRY, PC
Active
Organization
SOUTHERN TIER DENTISTRY, PC
Active
Other names
Elmira Family Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODERICK P SCHRADER (PC OWNER)
(715) 926-5050
Entity
Organization
Contact information
Practice address
315 W CHURCH ST, ELMIRA, NY 14901-2601
(607) 734-8511
(607) 734-6486
Mailing address
315 W CHURCH ST, ELMIRA, NY 14901-2601
(607) 734-8511
(607) 734-6486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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