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Organization
MAYFIELD FAMILY & COSMETIC DENTISTRY LLC
Active
Organization
MAYFIELD FAMILY & COSMETIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MICHAEL HASSAN DDS (OWNER MEMBER MANAGER)
(518) 661-6405
Entity
Organization
Contact information
Practice address
2540 STATE HIGHWAY 30, MAYFIELD, NY 12117
(518) 661-6405
(518) 661-7765
Mailing address
PO BOX K, MAYFIELD, NY 12117
(518) 661-6405
(518) 661-7765
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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