Organization
WOODSTOCK GENERAL & IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE LIOTTA (PRACTICE MANAGER)
(845) 679-3706
Entity
Organization
Contact information
Practice address
121 ROUTE 375, SUITE 1, WOODSTOCK, NY 12498
(845) 679-3706
Mailing address
121 ROUTE 375 STE 1, WOODSTOCK, NY 12498-1815
(845) 679-3706
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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