T P Mccue IV DDS PC

NPI #1336428408 in Watertown, New York

Provider Information

NPI Number: 1336428408
Entity Type: Organization
Organization Name: T P Mccue IV DDS PC
Primary Specialty: Dentist
Enumeration Date: Aug 8, 2011
Last Updated: Aug 8, 2011

Practice Location

Address: 1116 ARSENAL ST
Address 2: SUITE 202
City: Watertown
State: New York
ZIP Code: 13601-2229
Phone: (315) 779-2222

Authorized Official

Name: MS. CAMILLA JEAN LYNDAKER, RDH
Title: BUSINESS MANAGER
Phone: (315) 779-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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