Organization
RESTORATION SALON AND SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDRALL FENTNER (SALON OWNER)
(716) 288-9326
Entity
Organization
Contact information
Practice address
425 FRENCH ROAD, DEPEW, NY 14043
(716) 288-9326
Mailing address
425 FRENCH RD, DEPEW, NY 14043-2239
(716) 288-9326
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
026746
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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