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Individual

DR. NEBRIDIO MARIO DINARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1947 RIDGE RD, WEST SENECA, NY 14224-3339
(716) 675-9777
(716) 675-9645
Mailing address
1947 RIDGE RD, WEST SENECA, NY 14224-3339
(716) 675-9777
(716) 675-9645

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
043247-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00020006801
UNIVERA HEALTHCARE
NY
05
01241189
NY
Enumeration date
06/09/2006
Last updated
09/14/2007
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