Organization
GOOD NEIGHBORS DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH DAMICO (PRACTICE MANAGER)
(716) 631-2728
Entity
Organization
Contact information
Practice address
959 KENMORE AVE, KENMORE, NY 14223-3160
(716) 871-1614
(716) 871-1519
Mailing address
959 KENMORE AVE, KENMORE, NY 14223-3160
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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