| Eastwood Dental Office, Pc | |
|
2326 James St Syracuse NY 13206-2839 | |
| (315) 438-3333 | |
| (315) 437-7276 |
| Full Name | Eastwood Dental Office, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2326 James St, Syracuse, New York |
| Authorized Official Name and Position | Joan C. Laura (PRESIDENT) |
| Authorized Official Contact | 3154383333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastwood Dental Office, Pc 2326 James St Syracuse NY 13206-2839 Ph: (315) 438-3333 | Eastwood Dental Office, Pc 2326 James St Syracuse NY 13206-2839 Ph: (315) 438-3333 |
| NPI Number | 1417049198 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417049198 | NPI | - | NPPES |
| 2GH | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 042283 (New York) | Primary |
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