| Aspen Dental Of Central New York, Pllc | |
|
124 Northern Lights Dr Syracuse NY 13212-4108 | |
| (315) 454-2411 | |
| (315) 455-2412 |
| Full Name | Aspen Dental Of Central New York, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 124 Northern Lights Dr, Syracuse, New York |
| Authorized Official Name and Position | Isam F Hamati (MANAGING MEMBER) |
| Authorized Official Contact | 3154552411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Of Central New York, Pllc 281 Sanders Creek Pkwy East Syracuse NY 13057-1307 Ph: (315) 454-6000 | Aspen Dental Of Central New York, Pllc 124 Northern Lights Dr Syracuse NY 13212-4108 Ph: (315) 454-2411 |
| NPI Number | 1477889178 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 11/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477889178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 047142-1 (New York) | Primary |
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