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Organization
BETH BRUNNER, DMD, PLLC
Active
Organization
BETH BRUNNER, DMD, PLLC
Active
Other names
Lake Placid Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH BRUNNER DMD, MD, PLLC (OWNER)
(518) 837-5019
Entity
Organization
Contact information
Practice address
1936 SARANAC AVE, SUITE 101, LAKE PLACID, NY 12946-1114
(518) 837-5019
(518) 837-5093
Mailing address
1936 SARANAC AVE, SUITE 101, LAKE PLACID, NY 12946-1114
(518) 837-5019
(518) 837-5093
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
054553
NY
Other
Enumeration date
10/27/2011
Last updated
04/26/2012
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