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Individual

DR. MARY R HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056893
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/25/2012
Last updated
09/17/2013
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