Organization
INDIAN ROCK DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL FAINMAN (OWNER)
(845) 357-7717
Entity
Organization
Contact information
Practice address
15 INDIAN ROCK, #15, MONTEBELLO, NY 10901-4907
(845) 357-7717
Mailing address
15 INDIAN ROCK, #15, MONTEBELLO, NY 10901-4907
(845) 357-7717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054403
NY
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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