Oakdale Mall Dental LLP

NPI #1801156674 in Johnson City, New York

Provider Information

NPI Number: 1801156674
Entity Type: Organization
Organization Name: Oakdale Mall Dental LLP
Primary Specialty: Dentist
Enumeration Date: May 25, 2012
Last Updated: May 25, 2012

Practice Location

Address: 601-635 HARRY L DR
Address 2: 46
City: Johnson City
State: New York
ZIP Code: 13790-1246
Phone: (607) 770-8888

Authorized Official

Name: ROSS KRASNOV, DDS
Title: OWNER
Phone: (607) 770-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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