Organization
326 TOM MILLER ROAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS JAMES CHAUVIN DDS (OWNER)
(518) 598-3086
Entity
Organization
Contact information
Practice address
326 TOM MILLER RD, PLATTSBURGH, NY 12901-6430
(518) 563-7097
(518) 563-9690
Mailing address
326 TOM MILLER RD, PLATTSBURGH, NY 12901-6430
(518) 563-7097
(518) 563-9690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50051508
NY
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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