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Organization
P.C. DENTAL GROUP PLLC
Active
Organization
P.C. DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART GRABER DDS (MANAGING DENTIST)
(914) 481-5733
Entity
Organization
Contact information
Practice address
1 GATEWAY PLZ, PORT CHESTER, NY 10573-4674
(914) 481-5733
(914) 481-5729
Mailing address
1 GATEWAY PLZ, PORT CHESTER, NY 10573-4674
(914) 481-5733
(914) 481-5729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
030324
NY
122300000X
Dentist
0513121
NY
122300000X
Dentist
0554981
NY
122300000X
Dentist
0561931
NY
122300000X
Dentist
Primary
0564181
NY
1223P0300X
Periodontics
0518851
NY
1223P0700X
Prosthodontics
0451461
NY
124Q00000X
Dental Hygienist
339246134
NY
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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