Organization
CRAFT SMILES PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BLAIR D.M.D. (OWNER)
(914) 409-8851
Entity
Organization
Contact information
Practice address
1 POWELTON RD, NEWBURGH, NY 12550-2229
(845) 476-3777
Mailing address
1 POWELTON RD, NEWBURGH, NY 12550-2229
(845) 476-3777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
055053
NY
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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