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Individual

ANNA E BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3349 NIAGARA FALLS BLVD, NORTH TONAWANDA, NY 14120-1213
(716) 694-1777
(716) 694-1888
Mailing address
3349 NIAGARA FALLS BLVD, NORTH TONAWANDA, NY 14120-1213
(716) 694-1777
(716) 694-1888

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057493
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205177961
NPI
NY
Enumeration date
03/06/2013
Last updated
08/30/2021
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