Smile Zone Dentistry, Port Jervis Pc | |
26 Fowler St Port Jervis NY 12771-2534 | |
(845) 856-6721 | |
Not Available |
Full Name | Smile Zone Dentistry, Port Jervis Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 26 Fowler St, Port Jervis, New York |
Authorized Official Name and Position | Samir Bajaj (DIRECTOR) |
Authorized Official Contact | 2018742243 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile Zone Dentistry, Port Jervis Pc 26 Fowler St Port Jervis NY 12771-2534 Ph: (845) 856-6721 | Smile Zone Dentistry, Port Jervis Pc 26 Fowler St Port Jervis NY 12771-2534 Ph: (845) 856-6721 |
NPI Number | 1164861266 |
---|---|
Provider Enumeration Date | 06/21/2013 |
Last Update Date | 06/21/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164861266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 049729-1 (New York) | Primary |
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