Organization
15 CANAL ROAD DENTAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC NEWMAN (COO)
(914) 738-1144
Entity
Organization
Contact information
Practice address
15 CANAL RD, PELHAM, NY 10803-2706
(914) 738-1144
Mailing address
15 CANAL RD, PELHAM, NY 10803-2706
(914) 738-1144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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