| Dr Vincent D Dimento Dmd | |
|
4627 Onondaga Blvd Syracuse NY 13219-3243 | |
| (315) 477-9960 | |
| (315) 423-0735 |
| Full Name | Dr Vincent D Dimento Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4627 Onondaga Blvd, Syracuse, New York |
| Authorized Official Name and Position | Vincent D Dimento (OWNER) |
| Authorized Official Contact | 3154779960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vincent D Dimento Dmd 4627 Onondaga Blvd Syracuse NY 13219-3243 Ph: (315) 477-9960 | Dr Vincent D Dimento Dmd 4627 Onondaga Blvd Syracuse NY 13219-3243 Ph: (315) 477-9960 |
| NPI Number | 1093283160 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093283160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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