Organization
PROSPECT DENTAL, PC
Active
Other names
All Access Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MASCARENHAS DDS (PRESIDENT)
(845) 224-3272
Entity
Organization
Contact information
Practice address
288TH MAIN STREET, BEACON, NY 12508
(845) 838-0086
(845) 765-2929
Mailing address
79 HUDSON ST STE 504, HOBOKEN, NJ 07030-5642
(845) 242-3272
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2015
Last updated
09/29/2020
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