Organization
GREAT LAKES DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY LYNN RAPPOLD D.D.S. (DENTIST)
(716) 668-9700
Entity
Organization
Contact information
Practice address
20 LOSSON RD STE 110, CHEEKTOWAGA, NY 14227-2379
(716) 668-9700
(716) 668-9702
Mailing address
20 LOSSON RD STE 110, CHEEKTOWAGA, NY 14227-2379
(716) 668-9700
(716) 668-9702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051753
NY
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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