Organization
APPLE BLOSSOM DENTAL,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FETHIYE SEVDE ERSAN (DDS)
(315) 589-4471
Entity
Organization
Contact information
Practice address
3800 RAILROAD AVE, WILLIAMSON, NY 14589-9340
(315) 589-4471
(315) 589-9427
Mailing address
3800 RAILROAD AVE, WILLIAMSON, NY 14589-9340
(315) 589-4471
(315) 589-9427
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053718
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03325546
—
NY
Enumeration date
12/26/2014
Last updated
12/26/2014
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