Great Lakes Dental Services, Pc | |
10 George St Oswego NY 13126 | |
(315) 343-1612 | |
Not Available |
Full Name | Great Lakes Dental Services, Pc |
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Speciality | Dentist |
Location | 10 George St, Oswego, New York |
Authorized Official Name and Position | Arwinder S Judge (PRESIDENT) |
Authorized Official Contact | 3153360494 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Great Lakes Dental Services, Pc 10 George St Oswego NY 13126 Ph: (315) 343-1612 | Great Lakes Dental Services, Pc 10 George St Oswego NY 13126 Ph: (315) 343-1612 |
NPI Number | 1376755421 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 04/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376755421 | NPI | - | NPPES |
01640000 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 046192 (New York) | Primary |
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Associated Dental Arts Of Oswego Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 W Seneca St, Oswego, NY 13126 Phone: 315-343-2450 Fax: 315-343-2839 | |
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Richard Fiese Oral & Maxillofacial Surgeon Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Co Rt 45a, Suite 100, Oswego, NY 13126 Phone: 315-343-6160 Fax: 315-343-8556 | |
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