| Riverside Dental Studio, Pc | |
|
2 Oswego St Ste 200 Baldwinsville NY 13027-2550 | |
| (315) 638-2288 | |
| (315) 638-4132 |
| Full Name | Riverside Dental Studio, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2 Oswego St Ste 200, Baldwinsville, New York |
| Authorized Official Name and Position | Michael David Mattiacio (PRESIDENT) |
| Authorized Official Contact | 3158855885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental Studio, Pc 2 Oswego St Ste 200 Baldwinsville NY 13027-2550 Ph: (315) 638-2288 | Riverside Dental Studio, Pc 2 Oswego St Ste 200 Baldwinsville NY 13027-2550 Ph: (315) 638-2288 |
| NPI Number | 1255224739 |
|---|---|
| Provider Enumeration Date | 06/02/2025 |
| Last Update Date | 06/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255224739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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