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Organization
PARK DENTAL ASSOCIATES, PLLC
Active
Organization
PARK DENTAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ELIZABETH POLEON DDS (DENTIST)
(716) 909-1470
Entity
Organization
Contact information
Practice address
880 WESTFALL RD, SUITE C, ROCHESTER, NY 14618-2611
(716) 909-1470
Mailing address
90 GROTON DR APT 4, AMHERST, NY 14228-2547
(716) 909-1470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
050613-1
NY
1223G0001X
General Practice Dentistry
053052-1
NY
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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