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Organization
IDENT DENTAL AT YORKTOWN
Active
Organization
IDENT DENTAL AT YORKTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM SPOSATO (ADMINISTRATOR)
(914) 245-4332
Entity
Organization
Contact information
Practice address
2649 STRANG BLVD, SUITE 300, YORKTOWN HEIGHTS, NY 10598-2939
(888) 433-6820
Mailing address
2649 STRANG BLVD, SUITE 300, YORKTOWN HEIGHTS, NY 10598-2939
(888) 433-6820
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
048328
NY
1223P0300X
Periodontics
051732
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
049967
NY
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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