| Mancera Dental Llc | |
|
281 Sanders Creek Pkwy East Syracuse NY 13057-1307 | |
| (315) 454-6000 | |
| (866) 803-4943 |
| Full Name | Mancera Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 281 Sanders Creek Pkwy, East Syracuse, New York |
| Authorized Official Name and Position | Heather Kraushaar (PROVIDER RELATIONS REP) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mancera Dental Llc 640 W Karsch Blvd Farmington MO 63640-3342 Ph: (573) 705-3485 | Mancera Dental Llc 281 Sanders Creek Pkwy East Syracuse NY 13057-1307 Ph: (315) 454-6000 |
| NPI Number | 1003357468 |
|---|---|
| Provider Enumeration Date | 03/17/2017 |
| Last Update Date | 03/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003357468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2015041029 (Missouri) | Primary |
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