Organization
COUNTY OF WAYNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KERRY VANAUKEN (DEPUTY DIRECTOR)
(315) 946-5749
Entity
Organization
Contact information
Practice address
1519 NYE RD STE 200, LYONS, NY 14489-9112
(315) 946-5749
(315) 946-5749
Mailing address
1519 NYE RD STE 200, SUITE 200, LYONS, NY 14489-9112
(315) 946-5749
(315) 946-5749
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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