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Organization
ACCESS FAMILY DENTAL AND DENTURES
Active
Organization
ACCESS FAMILY DENTAL AND DENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS B. NOLAN DDS (OWNER)
(315) 695-2128
Entity
Organization
Contact information
Practice address
219 COUNTY ROUTE 57, THREE RIVERS PLAZA, PHOENIX, NY 13135-3300
(315) 695-2128
Mailing address
219 COUNTY RTE 57, THREE RIVERS PLAZA, PHOENIX, NY 13135
(315) 695-2128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
027837
NY
261QD0000X
Dental Clinic/Center
Primary
027837
NY
Other
Enumeration date
10/15/2009
Last updated
10/21/2009
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