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Organization
PREFERRED DENTAL OF NIAGARA
Active
Organization
PREFERRED DENTAL OF NIAGARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARI A BONNEVIE (OFFICE MANAGER)
(716) 298-3567
Entity
Organization
Contact information
Practice address
2145 LANCELOT DR, NIAGARA FALLS, NY 14304-3093
(716) 298-3567
(716) 297-9855
Mailing address
2145 LANCELOT DR, NIAGARA FALLS, NY 14304-3093
(716) 298-3567
(716) 297-9855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02207409
—
NY
05
—
02656471
—
NY
Enumeration date
04/19/2006
Last updated
08/22/2020
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