SG DENTAL, PC
Dentist in Schroeppel, NY

License number
New York 032076
Category
Dentist
Type
Dentist
Owner
Name: DR. SHARADCHANDRA GHANASHYAM DESAI BDS
Title: PRESIDENT
Phone: (315) 695-2128
Address
Address
219 Three Rivers Plz, Schroeppel, NY 13135
National Provider ID: 1811083124
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SG DENTAL, PC

Schroeppel, NY

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Feb 5, 2004
Inactive since:
Sep 22, 2011
Addresses:
3 Rivers Plz, Phoenix, NY 13135 (Physical)
219 County Rte 57, Phoenix, NY 13135 (Physical)
State ID:
3009439
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Sharad Chandra Desai, 219 County Rte 57, Phoenix, NY 13135 (Physical)

Dentist licenses in New York