Village Dental Group of Central Square
NPI #1093845430 in Central Square, New York
Provider Information
- NPI Number
- 1093845430
- Entity Type
- Organization
- Organization Name
- Village Dental Group of Central Square
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 537 S MAIN ST
- City
- Central Square
- State
- New York
- ZIP Code
- 13036-3500
- Phone
- (315) 676-3001
Authorized Official
- Name
- MRS. SANDRA M. ANDERSON
- Title
- OFFICE MANAGER
- Phone
- (315) 676-3001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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