Individual
DR. DONALD DWIGHT HELLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9300 LAKE AVE, BROCTON, NY 14716-9621
(716) 792-7100
(716) 792-7115
Mailing address
9300 LAKE AVE, BROCTON, NY 14716-9621
(716) 792-7100
(716) 792-7115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044499
NY
Other
Enumeration date
09/25/2011
Last updated
09/25/2011
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