Organization
GRASSE RIVER FAMILY DENTAL
Active
Other names
Grasse River Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELI R HOLLIS DDS (DENTIST/OWNER)
(315) 386-2960
Entity
Organization
Contact information
Practice address
1956 OLD DEKALB RD, CANTON, NY 13617-3134
(315) 386-2960
(315) 386-2960
Mailing address
1956 OLD DEKALB RD, CANTON, NY 13617-3134
(315) 386-2960
(315) 386-2960
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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