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Organization
LACLAIR FAMILY DENTAL, PLLC
Active
Organization
LACLAIR FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ALLEN LACLAIR III DDS (DENTIST)
(315) 493-1184
Entity
Organization
Contact information
Practice address
111 S MECHANIC ST, CARTHAGE, NY 13619-1606
(315) 493-1184
(315) 519-1545
Mailing address
111 S MECHANIC ST, CARTHAGE, NY 13619-1606
(315) 493-1184
(315) 519-1545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051383
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03075647
—
NY
Enumeration date
10/01/2014
Last updated
12/18/2015
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