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Organization
SOUTHERN TIER FAMILY DENTISTRY, PC
Active
Organization
SOUTHERN TIER FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HARRIS MITCHENER DDS (PRESIDENT)
(716) 665-9484
Entity
Organization
Contact information
Practice address
230 E MAIN ST, FALCONER, NY 14733-1318
(716) 665-9484
Mailing address
230 E MAIN ST, FALCONER, NY 14733-1318
(716) 665-9484
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
054513
NY
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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