Individual
DR. MARY M MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
37 RIVERSIDE DR, BINGHAMTON, NY 13905-4508
(607) 778-1400
Mailing address
37 RIVERSIDE DR, BINGHAMTON, NY 13905-4508
(607) 778-1400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50055063
NY
1223G0001X
General Practice Dentistry
50055063
NY
Other
Enumeration date
07/29/2010
Last updated
06/10/2020
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