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Organization
MENDON DENTAL CENTER
Active
Organization
MENDON DENTAL CENTER
Active
Other names
Ann K. Kunkel, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN KATHERINE KUNKEL D.D.S. (OWNER)
(585) 624-5886
Entity
Organization
Contact information
Practice address
30 ASSEMBLY DR, SUITE 102, MENDON, NY 14506-9608
(585) 624-5886
(585) 624-7395
Mailing address
30 ASSEMBLY DR, P.O. BOX 399, MENDON, NY 14506-9608
(585) 624-5886
(585) 624-7395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42060
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01143282
—
NY
Enumeration date
11/03/2010
Last updated
11/03/2010
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