Ident Dental at Middletown

NPI #1811121379 in Middletown, New York

Provider Information

NPI Number
1811121379
Entity Type
Organization
Organization Name
Ident Dental at Middletown
Primary Specialty
Dentist - Oral and Maxillofacial Pathology
Enumeration Date
May 12, 2009
Last Updated
May 12, 2009

Practice Location

Address
453 ROUTE 211 E
Address 2
SUITE 103
ZIP Code
10940-2206
Phone
(888) 433-6820

Authorized Official

Name
ADAM SPOSATO
Title
ADMINISTRATOR
Phone
(914) 245-4332

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics
Dentist - PeriodonticsPeriodontics
Dentist - Oral and Maxillofacial PathologyOral and Maxillofacial Pathology

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