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Organization
CLOVER LEAF DENTAL PLLC
Active
Organization
CLOVER LEAF DENTAL PLLC
Active
Other names
Clover Leaf Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE SZCZUPAKOWSKI DDS (OWNER)
(716) 913-4274
Entity
Organization
Contact information
Practice address
59 ELIZABETH DR, LOCKPORT, NY 14094-5226
(716) 433-8332
Mailing address
59 ELIZABETH DR, LOCKPORT, NY 14094-5226
(716) 433-8332
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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