Charles Marvin, Dds, P.c. | |
978 Route 45 Northside Plaza, Suite 207 Pomona NY 10970-3521 | |
(845) 354-4600 | |
(845) 354-4653 |
Full Name | Charles Marvin, Dds, P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 978 Route 45, Pomona, New York |
Authorized Official Name and Position | Michelle Lynn Marvin (OFFICE MANAGER) |
Authorized Official Contact | 8453544600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Charles Marvin, Dds, P.c. 978 Route 45 Northside Plaza, Suite 207 Pomona NY 10970-3521 Ph: (845) 354-4600 | Charles Marvin, Dds, P.c. 978 Route 45 Northside Plaza, Suite 207 Pomona NY 10970-3521 Ph: (845) 354-4600 |
NPI Number | 1326184508 |
---|---|
Provider Enumeration Date | 01/29/2007 |
Last Update Date | 05/11/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326184508 | NPI | - | NPPES |
02 042 244 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 048411-1 (New York) | Primary |
News Archive
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