| Koala Dental Wellness Ny-1 | |
|
2435 Route 6 Ste 5 Brewster NY 10509-2538 | |
| (845) 363-0400 | |
| Not Available |
| Full Name | Koala Dental Wellness Ny-1 |
|---|---|
| Speciality | Dentist |
| Location | 2435 Route 6 Ste 5, Brewster, New York |
| Authorized Official Name and Position | Carl F Ern (OWNER) |
| Authorized Official Contact | 8453630400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koala Dental Wellness Ny-1 11825 State Route 40 Dunlap IL 61525-8842 Ph: (309) 839-9941 | Koala Dental Wellness Ny-1 2435 Route 6 Ste 5 Brewster NY 10509-2538 Ph: (845) 363-0400 |
| NPI Number | 1437702917 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 04/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437702917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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