Organization
SPRUCE DENTAL
Active
Other names
Advanced Implant Dentistry and Oral Restoration
Organization subpart
No
Provider details
NPI number
Authorized official
ALLON WALTUCH DDS (DENTIST)
(515) 295-3826
Entity
Organization
Contact information
Practice address
76 SPRUCE ST, CEDARHURST, NY 11516-2018
(515) 295-3826
Mailing address
76 SPRUCE ST, CEDARHURST, NY 11516-2018
(515) 295-3826
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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