Organization
ADVANCED DENTAL OF WNY
Active
Other names
Advanced Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J LACARRUBBA DDS (OWNER/DENTIST)
(716) 297-1711
Entity
Organization
Contact information
Practice address
9501 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-4910
(716) 297-1711
Mailing address
9501 NIAGARA FALLS BLVD, NIAGARA FALLS, NY 14304-4910
(716) 297-1711
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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