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Organization
RIVERSIDE DENTAL ASSOCIATES, LLP
Active
Organization
RIVERSIDE DENTAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE WILLIAMS (OFFICE MANAGER)
(607) 722-1274
Entity
Organization
Contact information
Practice address
38 RIVERSIDE DR, BINGHAMTON, NY 13905-4596
(607) 722-1274
Mailing address
38 RIVERSIDE DR, BINGHAMTON, NY 13905-4596
(607) 722-1274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02244773
—
NY
Enumeration date
09/29/2006
Last updated
08/22/2020
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