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Brewster Family And Cosmetic Dental PC

Dentist in Brewster, NY. Organization (NPI-2).

NPI number1053716670
StatusActive
Last updated in NPPESOct 24, 2014

Details

NPI
1053716670
Entity type
Organization (NPI-2)
Legal business name
Brewster Family And Cosmetic Dental PC
Organization subpart
No
Enumeration date
Oct 24, 2014
Last updated
Oct 24, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist041695-2NYYes

Practice location

504 N Main St
Brewster, NY 10509-1230

Phone 845-279-3482 · Fax 845-278-1782

Mailing address

504 N Main St
Brewster, NY 10509-1230

Phone 845-279-3482 · Fax 845-278-1782

Authorized official

Stacie Terri Calian
Owner
8452793482

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Other Dentist providers in Brewster, NY

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