Monroe Dental Office PC

NPI #1720585391 in Monroe, New York

Provider Information

NPI Number: 1720585391
Entity Type: Organization
Organization Name: Monroe Dental Office PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 10, 2018
Last Updated: Apr 10, 2018

Practice Location

Address: 400 STATE ROUTE 17M STE 2
City: Monroe
State: New York
ZIP Code: 10950-4430
Phone: (845) 782-0189

Authorized Official

Name: CARLA J CORNELIUS
Title: PRACTICE MANAGER/ADMINISTRATOR
Phone: (845) 782-0189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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