Organization
GENUINE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAK BARKHORDAR D.D.S. (OWNER)
(845) 709-0571
Entity
Organization
Contact information
Practice address
91 LAKES RD, MONROE, NY 10950-2613
(845) 709-0571
Mailing address
1 MARK DR, SPRING VALLEY, NY 10977-1008
(845) 709-0571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051314
NY
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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