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Organization
NIAGARA QUALITYCARE DENTISTRY PC
Active
Organization
NIAGARA QUALITYCARE DENTISTRY PC
Active
Other names
Dr Bob's Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SENIOR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
8875 PORTER RD, SUITE 1, NIAGARA FALLS, NY 14304
(716) 297-5559
(716) 297-5559
Mailing address
8875 PORTER RD, SUITE 1, NIAGARA FALLS, NY 14304
(716) 297-5559
(716) 297-5559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02824519
—
NY
01
—
GG332FHP2
UNIVERA HEALTHPLEX
NY
01
—
GRP705113002
BC/BS CHILD HEALTH PLUS
NY
Enumeration date
03/18/2008
Last updated
05/08/2025
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