1500 Grant Blvd Dentistry, PLLC
1500 Grant Blvd Dentistry, PLLC is a Dental Clinic/Center in Syracuse, New York. Licensed in New York. Registered with an NPI since 2018.
- Licensed in
- NY
- In the registry since
- 2018
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1500 Grant BlvdSyracuse, NY 13208-3014
Phone: (315) 472-3414
Fax: (315) 472-4320
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 051141 (NY) |
|---|
Record details
| NPI number | 1497263685 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Arun Balakumar — Ceo · (315) 472-3414 |
| NPI enumerated | January 22, 2018 |
| Last updated in NPPES | January 22, 2018 |
| Mailing address | 1500 Grant Blvd, Syracuse, NY 13208-3014 |
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