Individual
DR. FRED ELLIOT RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
653 S MAIN ST, CENTRAL SQUARE, NY 13036-9105
(315) 668-6261
(315) 668-3255
Mailing address
PO BOX 667, CENTRAL SQUARE, NY 13036-0667
(315) 668-6261
(315) 668-3255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35932
NY
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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