Organization
ELLINWOOD DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZINA A. BERRY (50 PERCENT OWNER/ DENTIST)
(315) 316-0073
Entity
Organization
Contact information
Practice address
2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
(315) 316-0073
(315) 507-2406
Mailing address
2 ELLINWOOD DR, NEW HARTFORD, NY 13413-1102
(315) 316-0073
(315) 507-2406
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
047689
NY
261QD0000X
Dental Clinic/Center
051526
NY
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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