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Organization
VICTOR FAMILY DENTISTRY
Active
Organization
VICTOR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY B LOWENGUTH D.D.S. (GENERAL DENTIST)
(585) 924-3240
Entity
Organization
Contact information
Practice address
277 W MAIN ST, VICTOR, NY 14564-1123
(585) 924-3240
Mailing address
277 W MAIN ST, VICTOR, NY 14564-1123
(585) 924-3240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045382
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7247
BC/BS PROVIDER NUMBER
NY
Enumeration date
10/25/2006
Last updated
06/17/2008
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