Organization
HOMETOWN ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY LOUISE RUCHLIN (BUSINESS MANAGER)
(716) 693-9077
Entity
Organization
Contact information
Practice address
3040 AMSDELL RD, HAMBURG, NY 14075-5835
(716) 534-1460
Mailing address
495 DELAWARE ST, TONAWANDA, NY 14150-5348
(716) 693-9077
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
052405
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
054753
NY
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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