Organization
ACCESS FAMILY DENTAL AND DENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS B. NOLAN DDS (OWNER)
(315) 695-2128
Entity
Organization
Contact information
Practice address
219 COUNTY ROUTE 57, THREE RIVERS PLAZA, PHOENIX, NY 13135-3300
(315) 695-2128
Mailing address
219 COUNTY RTE 57, THREE RIVERS PLAZA, PHOENIX, NY 13135
(315) 695-2128
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
027837
NY
261QD0000X
Dental Clinic/Center
Primary
027837
NY
Other
Enumeration date
10/15/2009
Last updated
10/21/2009
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