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Individual

TAYLOR EMILY GRUNEISEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
USA DENTAC, 10590 ENDURING FREEDOM DRIVE, FORT DRUM, NY 13602
(315) 772-8891
Mailing address
USA DENTAC 10590 ENDURING FREEDOM DRIVE, FORT DRUM, NY 13602
(315) 772-8891

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
028127
NY

Other

Enumeration date
08/14/2020
Last updated
05/30/2023
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