Full Name | Genuine Dental Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 91 Lakes Rd, Monroe, New York |
Authorized Official Name and Position | Siamak Barkhordar (OWNER) |
Authorized Official Contact | 8457090571 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Genuine Dental Pc 1 Mark Dr Spring Valley NY 10977-1008 Ph: (845) 709-0571 | Genuine Dental Pc 91 Lakes Rd Monroe NY 10950-2613 Ph: (845) 709-0571 |
NPI Number | 1932372976 |
---|---|
Provider Enumeration Date | 04/10/2008 |
Last Update Date | 04/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932372976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 051314 (New York) | Primary |
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› Verified 7 days ago
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