Organization
ELMIRA FAMILY DENTISTRY P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA HAENTGES DDS (OWNER/PRESIDENT)
(607) 733-6825
Entity
Organization
Contact information
Practice address
311 W CHURCH ST, ELMIRA, NY 14901-2601
(607) 733-6825
Mailing address
311 W CHURCH ST, ELMIRA, NY 14901-2601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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