| Galleria Mall Dental Pc | |
|
100 Main St White Plains NY 10601-2601 | |
| (914) 997-9000 | |
| Not Available |
| Full Name | Galleria Mall Dental Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 100 Main St, White Plains, New York |
| Authorized Official Name and Position | Ross Krasnov (OWNER) |
| Authorized Official Contact | 9149979000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Galleria Mall Dental Pc 100 Main St White Plains NY 10601-2601 Ph: (914) 997-9000 | Galleria Mall Dental Pc 100 Main St White Plains NY 10601-2601 Ph: (914) 997-9000 |
| NPI Number | 1023155470 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023155470 | NPI | - | NPPES |
| 02598167 | Medicaid | NY |
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