| Gold Coast Dental | |
|
695 Dutchess Tpke Suite 104 Poughkeepsie NY 12603-6442 | |
| (845) 471-8855 | |
| Not Available |
| Full Name | Gold Coast Dental |
|---|---|
| Speciality | Dentist |
| Location | 695 Dutchess Tpke, Poughkeepsie, New York |
| Authorized Official Name and Position | Theodore Seyena-susu (DENTIST) |
| Authorized Official Contact | 8454718855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Coast Dental 695 Dutchess Tpke Suite 104 Poughkeepsie NY 12603-6442 Ph: (845) 471-8855 | Gold Coast Dental 695 Dutchess Tpke Suite 104 Poughkeepsie NY 12603-6442 Ph: (845) 471-8855 |
| NPI Number | 1093179574 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093179574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 050398 (New York) | Primary |
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