| Susan M Minchin Dds, P.c. | |
|
602 W Water St Elmira NY 14905-2410 | |
| (607) 733-0830 | |
| (607) 733-0830 |
| Full Name | Susan M Minchin Dds, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 602 W Water St, Elmira, New York |
| Authorized Official Name and Position | Susan Minchin (OWNER) |
| Authorized Official Contact | 6077330830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan M Minchin Dds, P.c. 602 W Water St Elmira NY 14905-2410 Ph: (607) 733-0830 | Susan M Minchin Dds, P.c. 602 W Water St Elmira NY 14905-2410 Ph: (607) 733-0830 |
| NPI Number | 1346630233 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346630233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 056710 (New York) | Primary |
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