Individual
DR. MICHAEL ROSS BYBELEZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
474 STATE ROUTE 3, PLATTSBURGH, NY 12901-6538
(518) 907-0694
Mailing address
474 STATE ROUTE 3, PLATTSBURGH, NY 12901-6538
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060120
NY
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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