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Organization
TIFFANY SRECA, D.M.D., P.C.
Active
Organization
TIFFANY SRECA, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY SRECA DMD (PRESIDENT)
(315) 732-5100
Entity
Organization
Contact information
Practice address
2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
(315) 732-5100
Mailing address
2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
055997-1
NY
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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