| Craig O. Sundahl, D.d.s., P.c. | |
|
1 Madison Ave Larchmont NY 10538-1929 | |
| (914) 833-1111 | |
| (914) 833-1274 |
| Full Name | Craig O. Sundahl, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1 Madison Ave, Larchmont, New York |
| Authorized Official Name and Position | Craig O. Sundahl (PRESIDENT) |
| Authorized Official Contact | 9148331111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig O. Sundahl, D.d.s., P.c. 26 Country Rd Mamaroneck NY 10543-1109 Ph: (914) 698-1882 | Craig O. Sundahl, D.d.s., P.c. 1 Madison Ave Larchmont NY 10538-1929 Ph: (914) 833-1111 |
| NPI Number | 1114034865 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114034865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 023384 (New York) | Primary |
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