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Organization
VICTOR FAMILY DENTISTRY, PLLC
Active
Organization
VICTOR FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY B LOWENGUTH (OWNER)
(585) 924-3240
Entity
Organization
Contact information
Practice address
277 W MAIN ST, VICTOR, NY 14564-1123
(585) 924-3240
(585) 924-7768
Mailing address
277 W MAIN ST, VICTOR, NY 14564-1123
(585) 924-3240
(585) 924-7768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0453821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538243548
NPI INDIVIDUAL PROVIDER NUMBER FOR JEFFREY LOWENGUTH
NY
Enumeration date
08/14/2012
Last updated
08/14/2012
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