Organization
THE SALVATION ARMY
Active
Other names
Saving Smiles Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN SOUTHWICK (SECRETARY)
(845) 620-7329
Entity
Organization
Contact information
Practice address
217 SYCAMORE ST, OIL CITY, PA 16301-1443
(814) 677-4056
(814) 676-8690
Mailing address
440 WEST NYACK ROAD, PO BOX C-635, WEST NYACK, NY 10994-1739
(845) 620-7200
(845) 620-7615
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
08/15/2017
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