| Quest Dental Group | |
|
2946 Erie Blvd E Syracuse NY 13224-1431 | |
| (315) 445-2678 | |
| Not Available |
| Full Name | Quest Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2946 Erie Blvd E, Syracuse, New York |
| Authorized Official Name and Position | Michael David Mattiacio (OWNER) |
| Authorized Official Contact | 3154452678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quest Dental Group 2946 Erie Blvd E Syracuse NY 13224-1431 Ph: (315) 445-2678 | Quest Dental Group 2946 Erie Blvd E Syracuse NY 13224-1431 Ph: (315) 445-2678 |
| NPI Number | 1619098076 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619098076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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