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Organization
TAMARA LYN DUNLAP DDS PLLC
Active
Organization
TAMARA LYN DUNLAP DDS PLLC
Active
Parent organization
TAMARA LYN DUNLAP DDS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAMARA LYN DUNLAP DDS PLLC
Authorized official
TAMARA DUNLAP (OWNER/PROVIDER)
(518) 762-4321
Entity
Organization
Contact information
Practice address
310 JANSEN AVE, JOHNSTOWN, NY 12095-1909
(518) 762-4321
(518) 762-4323
Mailing address
310 JANSEN AVE, JOHNSTOWN, NY 12095-1909
(518) 762-4321
(518) 762-4323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048515
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03016277
—
NY
01
—
9210579
DENTAQUEST
NY
Enumeration date
08/18/2015
Last updated
08/18/2015
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