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Organization
PALMA AND NARDOZZA DENTAL SERVICES
Active
Organization
PALMA AND NARDOZZA DENTAL SERVICES
Active
Parent organization
PALMA AND NARDOZZA DENTAL SERVICES PC
Other names
Baldwinsville Gentle Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMA AND NARDOZZA DENTAL SERVICES PC
Authorized official
MS. KAREN L MANNING (AUTHORIZED OFFICAL)
(215) 798-3974
Entity
Organization
Contact information
Practice address
30 W GENESEE ST, BALDWINSVILLE, NY 13027-1126
(315) 635-3671
(315) 635-6482
Mailing address
PO BOX 4008, LANCASTER, PA 17604-4008
(315) 635-3671
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042879
NEW YORK STATE BOARD OF DENTISTRY
NY
Enumeration date
07/12/2022
Last updated
08/14/2023
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