Missih Dental Care & Periodontics Llc | |
355 Riverside Drive Johnson City NY 13790 | |
(607) 798-7188 | |
(607) 797-8435 |
Full Name | Missih Dental Care & Periodontics Llc |
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Speciality | Clinic/center - Dental |
Location | 355 Riverside Drive, Johnson City, New York |
Authorized Official Name and Position | Comlan Marcel Missih (OWNER-DENTIST) |
Authorized Official Contact | 6077987188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Missih Dental Care & Periodontics Llc 355 Riverside Drive Johnson City NY 13790 Ph: (607) 798-7188 | Missih Dental Care & Periodontics Llc 355 Riverside Drive Johnson City NY 13790 Ph: (607) 798-7188 |
NPI Number | 1700442746 |
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Provider Enumeration Date | 05/15/2019 |
Last Update Date | 07/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700442746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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