| Searingtown Dental Pc | |
|
110 Lockwood Ave New Rochelle NY 10801-5028 | |
| (914) 632-3132 | |
| Not Available |
| Full Name | Searingtown Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 110 Lockwood Ave, New Rochelle, New York |
| Authorized Official Name and Position | Junghwan Soh (PRESIDENT) |
| Authorized Official Contact | 9146323132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Searingtown Dental Pc 140 Lockwood Ave Ste 101 New Rochelle NY 10801-4907 Ph: (914) 632-3132 | Searingtown Dental Pc 110 Lockwood Ave New Rochelle NY 10801-5028 Ph: (914) 632-3132 |
| NPI Number | 1609397538 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609397538 | NPI | - | NPPES |
| 02870946 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 052909 (New York) | Primary |
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