Organization
FAYETTEVILLE SMILES DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RICHTER (OWNER)
(315) 329-5146
Entity
Organization
Contact information
Practice address
5009 CAMPUSWOOD DR, EAST SYRACUSE, NY 13057-1222
(315) 329-5146
(315) 400-0906
Mailing address
5009 CAMPUSWOOD DR, EAST SYRACUSE, NY 13057-1222
(315) 329-5146
(315) 400-0906
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
04/09/2023
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