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Organization

NEW BALTIMORE FAMILY DENTISTRY, LLP

Active
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Organization

NEW BALTIMORE FAMILY DENTISTRY, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA PLASS (OFFICE MANAGER)
(518) 731-2797
Entity
Organization

Contact information

Practice address
12498 RT 9W, WEST COXSACKIE, NY 12192-1705
(518) 731-2797
(518) 731-9974
Mailing address
12498 RT 9W, WEST COXSACKIE, NY 12192-1705
(518) 731-2797
(518) 731-9974

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056141
NY

Other

Enumeration date
12/17/2013
Last updated
12/17/2013
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