| Shoppingtown Dental Services Pc | |
|
6607 Kinne Rd De Witt NY 13214-1871 | |
| (315) 446-6406 | |
| Not Available |
| Full Name | Shoppingtown Dental Services Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 6607 Kinne Rd, De Witt, New York |
| Authorized Official Name and Position | Praveen K Simlote (PRESIDENT) |
| Authorized Official Contact | 3154466406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoppingtown Dental Services Pc 6607 Kinne Rd Dewitt NY 13214 Ph: (315) 446-6406 | Shoppingtown Dental Services Pc 6607 Kinne Rd De Witt NY 13214-1871 Ph: (315) 446-6406 |
| NPI Number | 1417317041 |
|---|---|
| Provider Enumeration Date | 02/24/2016 |
| Last Update Date | 02/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417317041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 035492 (New York) | Primary |