Envision Dental Care Pllc
NPI #1518310374 in Putnam Valley, New York
Provider Information
- NPI Number
- 1518310374
- Entity Type
- Organization
- Organization Name
- Envision Dental Care Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 18, 2016
- Last Updated
- May 21, 2018
Practice Location
- Address
- 17 OSCAWANA LAKE RD
- Address 2
- 1ST FLOOR
- City
- Putnam Valley
- State
- New York
- ZIP Code
- 10579-3003
- Phone
- (845) 528-2500
Authorized Official
- Name
- DR. RAHUL PATHAK, DDS
- Title
- OWNER
- Phone
- (845) 528-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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