Sg Dental, PC

NPI #1811083124 in Phoenix, New York

Provider Information

NPI Number: 1811083124
Entity Type: Organization
Organization Name: Sg Dental, PC
Primary Specialty: Dentist
Enumeration Date: Oct 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 219 COUNTY ROUTE 57
Address 2: THREE RIVERS PLAZA
City: Phoenix
State: New York
ZIP Code: 13135-3300
Phone: (315) 695-2128

Authorized Official

Name: DR. SHARADCHANDRA GHANASHYAM DESAI, BDS
Title: PRESIDENT
Phone: (315) 695-2128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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