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Organization
MONROE DENTAL OFFICE PC
Active
Organization
MONROE DENTAL OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA J CORNELIUS (PRACTICE MANAGER/ADMINISTRATOR)
(845) 782-0189
Entity
Organization
Contact information
Practice address
400 STATE ROUTE 17M STE 2, MONROE, NY 10950-4430
(845) 782-0189
(845) 782-5682
Mailing address
400 STATE ROUTE 17M STE 2, MONROE, NY 10950-4430
(845) 782-0189
(845) 782-5682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44464
NY
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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