| Willsboro Dental, Pc | |
|
3673 Essex Road Willsboro NY 12996 | |
| (518) 963-7307 | |
| Not Available |
| Full Name | Willsboro Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 3673 Essex Road, Willsboro, New York |
| Authorized Official Name and Position | David Bonfante (PRESIDENT) |
| Authorized Official Contact | 5189637307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willsboro Dental, Pc Po Box 310 3673 Essex Road Willsboro NY 12996 Ph: (518) 963-7307 | Willsboro Dental, Pc 3673 Essex Road Willsboro NY 12996 Ph: (518) 963-7307 |
| NPI Number | 1457668758 |
|---|---|
| Provider Enumeration Date | 09/08/2010 |
| Last Update Date | 09/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457668758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 030808 (New York) | Primary |
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