| 15 Canal Road Dental Services P.c. | |
|
15 Canal Rd Pelham NY 10803-2706 | |
| (914) 738-1144 | |
| Not Available |
| Full Name | 15 Canal Road Dental Services P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15 Canal Rd, Pelham, New York |
| Authorized Official Name and Position | Isaac Newman (COO) |
| Authorized Official Contact | 9147381144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 15 Canal Road Dental Services P.c. 15 Canal Rd Pelham NY 10803-2706 Ph: (914) 738-1144 | 15 Canal Road Dental Services P.c. 15 Canal Rd Pelham NY 10803-2706 Ph: (914) 738-1144 |
| NPI Number | 1770083321 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 02/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770083321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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