| 1500 Grant Blvd Dentistry, Pllc | |
|
1500 Grant Blvd Syracuse NY 13208-3014 | |
| (315) 472-3414 | |
| (315) 472-4320 |
| Full Name | 1500 Grant Blvd Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1500 Grant Blvd, Syracuse, New York |
| Authorized Official Name and Position | Arun Balakumar (CEO) |
| Authorized Official Contact | 3154723414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1500 Grant Blvd Dentistry, Pllc 1500 Grant Blvd Syracuse NY 13208-3014 Ph: (315) 472-3414 | 1500 Grant Blvd Dentistry, Pllc 1500 Grant Blvd Syracuse NY 13208-3014 Ph: (315) 472-3414 |
| NPI Number | 1497263685 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497263685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 051141 (New York) | Primary |
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› Verified 5 days ago
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