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Organization

SOUTHERN TIER FAMILY DENTISTRY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES HARRIS MITCHENER DDS (PRESIDENT)
(716) 665-9484
Entity
Organization

Contact information

Practice address
230 E MAIN ST, FALCONER, NY 14733-1318
(716) 665-9484
Mailing address
230 E MAIN ST, FALCONER, NY 14733-1318
(716) 665-9484

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
054513
NY

Other

Enumeration date
02/06/2015
Last updated
02/06/2015
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