Organization
FAMILY DENTAL PRACTICE OF BINGHAMTON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD C GRANT DDS (PRES TREASURER)
(607) 772-6636
Entity
Organization
Contact information
Practice address
23 ARTHUR ST, BINGHAMTON, NY 13905-3605
(607) 772-6636
(607) 772-6638
Mailing address
23 ARTHUR ST, BINGHAMTON, NY 13905-3605
(607) 772-6636
(607) 772-6638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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