Organization
IDP MIDDLETOWN
Active
Other names
Cornerstone Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN REIDY (OFFICE MANAGER)
(845) 342-4668
Entity
Organization
Contact information
Practice address
123 ACADEMY AVE, MIDDLETOWN, NY 10940-5211
(845) 342-4668
(845) 342-0642
Mailing address
123 ACADEMY AVE, MIDDLETOWN, NY 10940-5211
(845) 342-4668
(845) 342-0642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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