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Organization
THE SUMMIT DENTAL GROUP, PC
Active
Organization
THE SUMMIT DENTAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT F CLARK DDS (VICE PRESIDENT)
(315) 457-0620
Entity
Organization
Contact information
Practice address
7555 MORGAN ROAD, LIVERPOOL, NY 13089
(315) 457-0620
(315) 457-0656
Mailing address
PO BOX 2645, 7555 MORGAN ROAD, LIVERPOOL, NY 13089
(315) 457-0620
(315) 457-0656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
04614
NY
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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