BREWERTON FAMILY DENTISTRY

BREWERTON, NY
NPI1164553079
Entity TypeOrganization
Authorized ContactIMADEH R NOSEGBE
Owner
315-676-2209
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  051614)
Enumeration Date2007-03-09
Last Update Date2020-08-22
Business Address
BREWERTON FAMILY DENTISTRY
5501 BARTEL RD
BREWERTON, NY 13029-8701
Phone number: 315-676-2209
Mailing Address
BREWERTON FAMILY DENTISTRY
PO BOX 830
BREWERTON, NY 13029-0830
Phone number: 315-676-2209