Silver Lake Dental Pllc | |
114 N Center St Perry NY 14530-9701 | |
(585) 237-3530 | |
(585) 237-6651 |
Full Name | Silver Lake Dental Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 114 N Center St, Perry, New York |
Authorized Official Name and Position | Timothy J Deruyter (MEMBER) |
Authorized Official Contact | 3155735031 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Silver Lake Dental Pllc 114 N Center St Perry NY 14530-9701 Ph: (585) 237-3530 | Silver Lake Dental Pllc 114 N Center St Perry NY 14530-9701 Ph: (585) 237-3530 |
NPI Number | 1518265172 |
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Provider Enumeration Date | 03/07/2011 |
Last Update Date | 03/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518265172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 055321 (New York) | Primary |
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