Organization
ELITE DENTAL & DENTURE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY SINGH (OFFICE MANAGER)
(607) 257-8065
Entity
Organization
Contact information
Practice address
13 CLINTON AVE, CORTLAND, NY 13045-2101
(607) 758-7700
(607) 758-7704
Mailing address
13 CLINTON AVE, CORTLAND, NY 13045-2101
(607) 758-7700
(607) 758-7704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0489401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053300525
—
NY
Enumeration date
11/18/2009
Last updated
11/18/2009
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