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Individual

DR. JOSEPH SCHOONOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.

Contact information

Practice address
29 CHURCH ST, LAKE PLACID, NY 12946-1805
(518) 523-1122
(518) 897-2423
Mailing address
29 CHURCH ST, LAKE PLACID, NY 12946-1805
(518) 523-1122
(518) 897-2423

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
028549
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00363213
NY
01
028549
NEW YORK STATE LICENSE
NY
Enumeration date
04/03/2007
Last updated
07/09/2007
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