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Organization
NIAGARA FAMILY DENTAL, P.C.
Active
Organization
NIAGARA FAMILY DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BAUER D.D.S. (OWNER)
(716) 883-3664
Entity
Organization
Contact information
Practice address
821 NIAGARA ST, BUFFALO, NY 14213-2420
(716) 883-3664
(716) 883-0202
Mailing address
821 NIAGARA ST, BUFFALO, NY 14213-2420
(716) 883-3664
(716) 883-0202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044496
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01388852
—
NY
Enumeration date
07/26/2012
Last updated
07/26/2012
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