Endicott Dental Surgery, Pllc

NPI #1588973713 in Endicott, New York

Provider Information

NPI Number: 1588973713
Entity Type: Organization
Organization Name: Endicott Dental Surgery, Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 5, 2010
Last Updated: Oct 5, 2010

Practice Location

Address: 609 E MAIN ST STE 9
City: Endicott
State: New York
ZIP Code: 13760-5036
Phone: (607) 239-6400

Authorized Official

Name: MICHAEL P WILSON, DDS
Title: OWNER
Phone: (607) 239-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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