15 Canal Road Dental Services P.c.

NPI #1770083321 in Pelham, New York

Provider Information

NPI Number: 1770083321
Entity Type: Organization
Organization Name: 15 Canal Road Dental Services P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 20, 2018
Last Updated: Feb 20, 2018

Practice Location

Address: 15 CANAL RD
City: Pelham
State: New York
ZIP Code: 10803-2706
Phone: (914) 738-1144

Authorized Official

Name: ISAAC NEWMAN
Title: COO
Phone: (914) 738-1144

Specialties & Taxonomy Codes

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

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