Organization
GENTLE DENTISTRY OF LANCASTER, PLLC
Active
Parent organization
GENTLE DENTISTRY OF LANCASTER, PLLC
Other names
Berry Good Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENTLE DENTISTRY OF LANCASTER, PLLC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
325 UNIVERSITY AVE, SYRACUSE, NY 13210-1856
(315) 476-3552
Mailing address
325 UNIVERSITY AVE, SYRACUSE, NY 13210-1856
(315) 476-3552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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