| Dental Office | |
|
212 Cromwell Ave Staten Island NY 10305-1308 | |
| (718) 668-2900 | |
| (718) 928-9444 |
| Full Name | Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 212 Cromwell Ave, Staten Island, New York |
| Authorized Official Name and Position | Marc Eric Weber (PRESIDENT) |
| Authorized Official Contact | 7186682900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Office 212 Cromwell Ave Staten Island NY 10305-1308 Ph: (718) 668-2900 | Dental Office 212 Cromwell Ave Staten Island NY 10305-1308 Ph: (718) 668-2900 |
| NPI Number | 1851693196 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851693196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50044210 (New York) | Primary |
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