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Organization
TRU-DENTAL, P.C.
Active
Organization
TRU-DENTAL, P.C.
Active
Other names
All Access Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MASCARENHAS DDS (PRESIDENT)
(845) 224-3272
Entity
Organization
Contact information
Practice address
11 CRUM ELBOW RD, HYDE PARK, NY 12538-2852
(845) 229-6288
(845) 292-8752
Mailing address
79 HUDSON ST STE 504, HOBOKEN, NJ 07030-5642
(845) 224-3272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02099310
—
NY
05
—
02691596
—
NY
Enumeration date
03/20/2008
Last updated
09/29/2020
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