| Woodrow Dental P.c. | |
|
932 Woodrow Rd Staten Island NY 10312-2224 | |
| (718) 747-8711 | |
| Not Available |
| Full Name | Woodrow Dental P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 932 Woodrow Rd, Staten Island, New York |
| Authorized Official Name and Position | Gregory J Balaes (OWNER) |
| Authorized Official Contact | 7187478711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodrow Dental P.c. 932 Woodrow Rd Staten Island NY 10312-2224 Ph: (718) 747-8711 | Woodrow Dental P.c. 932 Woodrow Rd Staten Island NY 10312-2224 Ph: (718) 747-8711 |
| NPI Number | 1740908110 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 08/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740908110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
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