| Elmira Family Dentist | |
|
315 W Church St Elmira NY 14901-2601 | |
| (607) 734-8511 | |
| (607) 734-6486 |
| Full Name | Elmira Family Dentist |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 315 W Church St, Elmira, New York |
| Authorized Official Name and Position | Roderick P Schrader (PC OWNER) |
| Authorized Official Contact | 7159265050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmira Family Dentist 315 W Church St Elmira NY 14901-2601 Ph: (607) 734-8511 | Elmira Family Dentist 315 W Church St Elmira NY 14901-2601 Ph: (607) 734-8511 |
| NPI Number | 1134516552 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134516552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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