Organization
CORTLANDT MANOR DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT B WASSEY DDS (OWNER PRESIDENT)
(914) 737-5700
Entity
Organization
Contact information
Practice address
99 LOCUST AVE, CORTLANDT MANOR, NY 10567
(914) 737-5700
Mailing address
99 LOCUST AVE, CORTLANDT MANOR, NY 10567
(914) 737-5700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044208
NY
Other
Enumeration date
05/02/2007
Last updated
09/25/2013
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