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Organization
SUBURBAN DENTISTRY PC
Active
Organization
SUBURBAN DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON JONES DDS (OWNER)
(716) 649-5254
Entity
Organization
Contact information
Practice address
1050 ABBOTT ROAD, BUFFALO, NY 14220
(716) 649-5254
(716) 822-0592
Mailing address
1050 ABBOTT ROAD, BUFFALO, NY 14220
(716) 649-5254
(716) 822-0592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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