| Grasse River Family Dental | |
|
1956 Old Dekalb Rd Canton NY 13617-3134 | |
| (315) 386-2960 | |
| (315) 386-2960 |
| Full Name | Grasse River Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1956 Old Dekalb Rd, Canton, New York |
| Authorized Official Name and Position | Keli R Hollis (DENTIST/OWNER) |
| Authorized Official Contact | 3153862960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grasse River Family Dental 1956 Old Dekalb Rd Canton NY 13617-3134 Ph: (315) 386-2960 | Grasse River Family Dental 1956 Old Dekalb Rd Canton NY 13617-3134 Ph: (315) 386-2960 |
| NPI Number | 1629664511 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629664511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
St Lawrence Dental Studio Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Miner St, Canton, NY 13617 Phone: 315-379-9195 |