Mayfield Family & Cosmetic Dentistry Llc | |
2540 State Highway 30 Mayfield NY 12117 | |
(518) 661-6405 | |
(518) 661-7765 |
Full Name | Mayfield Family & Cosmetic Dentistry Llc |
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Speciality | Clinic/center - Dental |
Location | 2540 State Highway 30, Mayfield, New York |
Authorized Official Name and Position | William Michael Hassan (OWNER MEMBER MANAGER) |
Authorized Official Contact | 5186616405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mayfield Family & Cosmetic Dentistry Llc Po Box K Mayfield NY 12117 Ph: (518) 661-6405 | Mayfield Family & Cosmetic Dentistry Llc 2540 State Highway 30 Mayfield NY 12117 Ph: (518) 661-6405 |
NPI Number | 1740319375 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1740319375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |