Organization
AMERICAN MOBILE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN WENCK (DIRECTOR)
(914) 835-6004
Entity
Organization
Contact information
Practice address
8 GRAND ST, ONEONTA, NY 13820-2624
(607) 432-1010
(914) 835-6055
Mailing address
76 PROGRESS DR STE 123, STAMFORD, CT 06902-3603
(914) 835-6004
(914) 835-6055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02636877
—
NY
Enumeration date
01/02/2007
Last updated
02/20/2024
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