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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
Village Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMA AND NARDOZZA DENTAL SERVICES PC
Authorized official
CASEY MORSE (AUTHORIZED OFFICIAL)
(856) 272-4735
Entity
Organization
Contact information
Practice address
537 S MAIN ST, CENTRAL SQUARE, NY 13036-3505
(315) 676-3001
Mailing address
PO BOX 4008, LANCASTER, PA 17604-4008
(856) 272-4735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042879
NEW YORK STATE BOARD OF DENTISTRY
NY
Enumeration date
07/01/2022
Last updated
07/01/2022
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