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Organization
WALDEN SQUARE DENTAL
Active
Organization
WALDEN SQUARE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CLAUSER (OWNER)
(716) 568-2273
Entity
Organization
Contact information
Practice address
2523 WALDEN AVE, CHEEKTOWAGA, NY 14225-4737
(716) 568-2273
Mailing address
2523 WALDEN AVE, CHEEKTOWAGA, NY 14225
(716) 568-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052390
NY
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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