Organization
BROOKSIDE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE GUARDINO DMD (OWNER)
(716) 688-0091
Entity
Organization
Contact information
Practice address
9736 TRANSIT RD, SUITE B, EAST AMHERST, NY 14051-1311
(716) 688-0091
Mailing address
9736 TRANSIT RD, SUITE B, EAST AMHERST, NY 14051-1311
(716) 688-0091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0400251
NY
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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