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Organization

SMALL SMILES DENTISTRY OF SYRACUSE, LLC

Active
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Organization

SMALL SMILES DENTISTRY OF SYRACUSE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TRUDY WILLIAMS (DIRECTOR, LICENSING & CREDENTIALING)
(615) 750-0342
Entity
Organization

Contact information

Practice address
224 S GEDDES ST, SYRACUSE, NY 13204-2809
(315) 471-0550
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02617229
NY
Enumeration date
05/11/2006
Last updated
05/17/2010
About Stedi
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