Dinosaur Orthodontics Pllc | |
1700 Monroe St Endicott NY 13760-5512 | |
(607) 953-4445 | |
Not Available |
Full Name | Dinosaur Orthodontics Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1700 Monroe St, Endicott, New York |
Authorized Official Name and Position | Nicolas Michael Freda (OWNER) |
Authorized Official Contact | 6079534797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dinosaur Orthodontics Pllc 13 Beech St Johnson City NY 13790-1018 Ph: (607) 953-4797 | Dinosaur Orthodontics Pllc 1700 Monroe St Endicott NY 13760-5512 Ph: (607) 953-4445 |
NPI Number | 1649043910 |
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Provider Enumeration Date | 10/30/2023 |
Last Update Date | 10/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649043910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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