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Organization
MICHAEL S MCCORMICK DMD LLC
Active
Organization
MICHAEL S MCCORMICK DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SEAN MCCORMICK D.M.D. (OWNER/DENTIST)
(716) 652-1140
Entity
Organization
Contact information
Practice address
168 QUAKER RD, EAST AURORA, NY 14052-2101
(716) 652-1140
(716) 655-4182
Mailing address
168 QUAKER RD, EAST AURORA, NY 14052-2101
(716) 652-1140
(716) 655-4182
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047306
NY
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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