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Organization
D&G DENTISTRY, NY PA
Active
Organization
D&G DENTISTRY, NY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART GOFF DDS (TREASURER)
(917) 804-5115
Entity
Organization
Contact information
Practice address
3083 WILLIAM ST, SUITE 3, CHEEKTOWAGA, NY 14227-1933
(917) 804-5115
Mailing address
3083 WILLIAM ST, SUITE 3, CHEEKTOWAGA, NY 14227-1933
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
049947
NY
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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