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Organization
SALINA FAMILY DENTAL PC
Active
Organization
SALINA FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILSON DANDATO SITHOLE DDS MPH (PRESIDENT OWNER)
(315) 457-7393
Entity
Organization
Contact information
Practice address
6846 BUCKLEY ROAD, NORTH SYRACUSE, NY 13212
(315) 457-7393
(315) 457-7396
Mailing address
SALINA FAMILY DENTAL PC, 6846 BUCKLEY ROAD, NORTH SYRACUSE, NY 13212
(315) 457-7393
(315) 457-7396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0305001
NY
1223G0001X
General Practice Dentistry
2826
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02512852
—
NY
Enumeration date
11/06/2006
Last updated
08/22/2020
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