Organization
EASTWOOD DENTAL OFFICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN C. LAURA DDS (PRESIDENT)
(315) 438-3333
Entity
Organization
Contact information
Practice address
2326 JAMES ST, SYRACUSE, NY 13206-2839
(315) 438-3333
(315) 437-7276
Mailing address
2326 JAMES ST, SYRACUSE, NY 13206-2839
(315) 438-3333
(315) 437-7276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2GH
—
NY
Enumeration date
09/29/2006
Last updated
08/22/2020
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