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Organization
PARKVIEW FAMILY DENTAL, P.C.
Active
Organization
PARKVIEW FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA D. ILAN (PRESIDENT)
(845) 354-6444
Entity
Organization
Contact information
Practice address
18 THIELLS MOUNT IVY RD, SUITE 1, POMONA, NY 10970-3020
(845) 354-6444
(845) 354-9189
Mailing address
18 THIELLS MOUNT IVY RD, SUITE 1, POMONA, NY 10970-3020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051103
NY
Other
Enumeration date
04/08/2007
Last updated
08/22/2020
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