Idental
NPI #1326289695 in Poughkeepsie, New York
Provider Information
- NPI Number
- 1326289695
- Entity Type
- Organization
- Organization Name
- Idental
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 17, 2009
- Last Updated
- Mar 17, 2009
Practice Location
- Address
- 2600 SOUTH RD
- Address 2
- SUITE 21 A
- City
- Poughkeepsie
- State
- New York
- ZIP Code
- 12601-7003
- Phone
- (845) 437-4380
Authorized Official
- Name
- KARISSA PUCCI
- Title
- VICE PRESIDENT
- Phone
- (845) 437-4380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - Periodontics — Periodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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