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Organization
SYEDLOC DENTISTRY,PC
Active
Organization
SYEDLOC DENTISTRY,PC
Active
Other names
Dr. Bob's Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LACARRUBBA DDS (DENTIST/OWNER)
(716) 833-2727
Entity
Organization
Contact information
Practice address
2727 MAIN ST, BUFFALO, NY 14214-1701
(716) 833-2727
(716) 833-2729
Mailing address
2727 MAIN ST, BUFFALO, NY 14214-1701
(716) 833-2727
(716) 833-2729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
028874-1
NY
1223G0001X
General Practice Dentistry
045205-1
NY
1223G0001X
General Practice Dentistry
Primary
046843
NY
1223G0001X
General Practice Dentistry
055539-1
NY
Other
Enumeration date
07/11/2013
Last updated
10/12/2016
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