Indian Rock Dental, PC

NPI #1578998639 in Montebello, New York

Provider Information

NPI Number: 1578998639
Entity Type: Organization
Organization Name: Indian Rock Dental, PC
Primary Specialty: Dentist
Enumeration Date: Sep 9, 2013
Last Updated: Sep 9, 2013

Practice Location

Address: 15 INDIAN ROCK
Address 2: #15
City: Montebello
State: New York
ZIP Code: 10901-4907
Phone: (845) 357-7717

Authorized Official

Name: DR. RACHEL FAINMAN
Title: OWNER
Phone: (845) 357-7717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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