Organization · Type 2 NPI
Mohegan Lake Dental PC
Dental Clinic/Center · Mohegan Lake, NY
NPI number
1164974853
Active
Practice location
1719 E Main St
Mohegan Lake, NY 10547-1356
Fax (914) 743-1579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 0556901 (NY) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1164974853
Mohegan Lake Dental PC's National Provider Identifier is 1164974853, issued on Oct 27, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mohegan Lake, NY. The record was last updated on Oct 27, 2016.