Organization
CLIFTON SPRINGS SANITARIUM CO
Active
Parent organization
CLIFTON SPRINGS SANITARIUM CO
Other names
Clifton Springs Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLIFTON SPRINGS SANITARIUM CO
Authorized official
NICHOLE S HOLDER (DIRECTOR - PAYER ENROLLMENT)
(585) 922-0293
Entity
Organization
Contact information
Practice address
2 COULTER RD STE 1720, CLIFTON SPRINGS, NY 14432-1122
(315) 318-0284
Mailing address
2 COULTER RD STE 1720, CLIFTON SPRINGS, NY 14432-1122
(315) 318-0284
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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