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Contact Information

A R ADVANCED DENTAL GROUP PC
5C MEDICAL PARK DR
POMONA, NY10970-3516
 Phone: 845-364-9400
 Fax: 845-364-0284
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for A R ADVANCED DENTAL GROUP PC · (Female)

NPI Number 1235285024
Status Active
Credentials
Entity Individual
Enumeration date 01/26/2007
Last updated 06/16/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 022-05-383
  • NY Other 11713 DORAL LOCATION NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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