Organization
FAMILY DENTISTRY OF LYONS, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL PUDDICOMBE DDS (DENTIST/OWNER)
(585) 229-2588
Entity
Organization
Contact information
Practice address
52 BROAD ST, LYONS, NY 14489-1154
(585) 229-2588
Mailing address
52 BROAD ST, LYONS, NY 14489-1154
(585) 229-2588
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053364
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02605329
—
NY
Enumeration date
03/03/2014
Last updated
03/03/2014
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