Individual
ANSELUM LOUIS POMINVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7626 N STATE ST, LOWVILLE, NY 13367-1318
(315) 376-3121
(315) 376-8635
Mailing address
7626 N STATE ST, LOWVILLE, NY 13367-1318
(315) 376-3121
(315) 376-8635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041391
NY
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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