Gold Coast Dental
NPI #1093179574 in Poughkeepsie, New York
Provider Information
- NPI Number
- 1093179574
- Entity Type
- Organization
- Organization Name
- Gold Coast Dental
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 11, 2016
- Last Updated
- Apr 11, 2016
Practice Location
- Address
- 695 DUTCHESS TPKE
- Address 2
- SUITE 104
- City
- Poughkeepsie
- State
- New York
- ZIP Code
- 12603-6442
- Phone
- (845) 471-8855
Authorized Official
- Name
- DR. THEODORE SEYENA-SUSU, DDS
- Title
- DENTIST
- Phone
- (845) 471-8855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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