Organization
BALDWINSVILLE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBER CUMMINGS (OFFICE MANAGER)
(315) 638-0276
Entity
Organization
Contact information
Practice address
5 LOCK STREET, BALDWINSVILLE, NY 13027
(315) 638-0276
(315) 303-5930
Mailing address
5 LOCK STREET, BALDWINSVILLE, NY 13027
(315) 638-0276
(315) 303-5930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051377
NY
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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