Organization
CLAY DENTAL CARE OF CENTRAL NEW YORK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A NICOLAIS D.D.S. (DENTIST/OWNER)
(315) 652-3963
Entity
Organization
Contact information
Practice address
3444 RTE 31, BALDWINSVILLE, NY 13027-8333
(315) 652-3963
Mailing address
3444 RTE 31, BALDWINSVILLE, NY 13027-8333
(315) 652-3963
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37397
NY
Other
Enumeration date
07/25/2007
Last updated
12/21/2017
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