| Washington Family Dental P.c. | |
|
15 Washington Ave Endicott NY 13760-5304 | |
| (607) 785-1027 | |
| (607) 785-0269 |
| Full Name | Washington Family Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15 Washington Ave, Endicott, New York |
| Authorized Official Name and Position | Guillermo E Ramos (PRESIDENT) |
| Authorized Official Contact | 6077851027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Family Dental P.c. 15 Washington Ave Endicott NY 13760-5304 Ph: (607) 785-1027 | Washington Family Dental P.c. 15 Washington Ave Endicott NY 13760-5304 Ph: (607) 785-1027 |
| NPI Number | 1255540878 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 10/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255540878 | NPI | - | NPPES |
| 046818 | Other | TN | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046818 (New York) | Primary |
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