| Green Grove Dental | |
|
28 Brotherhood Plaza Dr Washingtonville NY 10992-2272 | |
| (845) 477-1447 | |
| Not Available |
| Full Name | Green Grove Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 28 Brotherhood Plaza Dr, Washingtonville, New York |
| Authorized Official Name and Position | Steven Albert (OWNER) |
| Authorized Official Contact | 8454771447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Grove Dental 28 Brotherhood Plaza Dr Washingtonville NY 10992-2272 Ph: (845) 477-1447 | Green Grove Dental 28 Brotherhood Plaza Dr Washingtonville NY 10992-2272 Ph: (845) 477-1447 |
| NPI Number | 1124589940 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124589940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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