Individual
DR. GINA M SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4575 MAIN ST, SUITE 4, SNYDER, NY 14226-4567
(716) 839-1470
Mailing address
4575 MAIN ST, SUITE 4, SNYDER, NY 14226-4567
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
045688-1
NY
1223E0200X
Endodontics
Primary
0456881
NY
Other
Enumeration date
02/01/2010
Last updated
01/13/2020
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