Organization
ALAN DEROSA DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN DEROSA DDS (PRESIDENT)
(845) 389-7326
Entity
Organization
Contact information
Practice address
3210 ROUTE 9W, SAUGERTIES, NY 12477-5237
(845) 246-9566
Mailing address
PO BOX 277, SAUGERTIES, NY 12477-0277
(845) 246-9566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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