Organization
SHOPPINGTOWN DENTAL SERVICES PC
Active
Other names
NO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN K SIMLOTE DDS (PRESIDENT)
(315) 446-6406
Entity
Organization
Contact information
Practice address
6607 KINNE RD, DE WITT, NY 13214-1871
(315) 446-6406
Mailing address
6607 KINNE RD, DEWITT, NY 13214
(315) 446-6406
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
035492
NY
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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