Palisades Mall Dental LLP

NPI #1952601197 in West Nyack, New York

Provider Information

NPI Number: 1952601197
Entity Type: Organization
Organization Name: Palisades Mall Dental LLP
Primary Specialty: Dentist
Enumeration Date: Oct 21, 2010
Last Updated: Oct 21, 2010

Practice Location

Address: 3645 PALISADES CENTER DR
City: West Nyack
State: New York
ZIP Code: 10994-6612
Phone: (845) 353-3350

Authorized Official

Name: ROSS KRASNOV, DDS
Title: OWNER
Phone: (845) 353-3350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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