| Monroe Dental Office Pc | |
|
400 State Route 17m Ste 2 Monroe NY 10950-4430 | |
| (845) 782-0189 | |
| (845) 782-5682 |
| Full Name | Monroe Dental Office Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 400 State Route 17m Ste 2, Monroe, New York |
| Authorized Official Name and Position | Carla J Cornelius (PRACTICE MANAGER/ADMINISTRATOR) |
| Authorized Official Contact | 8457820189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe Dental Office Pc 400 State Route 17m Ste 2 Monroe NY 10950-4430 Ph: (845) 782-0189 | Monroe Dental Office Pc 400 State Route 17m Ste 2 Monroe NY 10950-4430 Ph: (845) 782-0189 |
| NPI Number | 1720585391 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 04/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720585391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44464 (New York) | Primary |
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