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Individual

DR. DAVID R DEVITO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
633 W 3RD ST S, FULTON, NY 13069-3100
(315) 592-2400
(315) 592-2412
Mailing address
633 W 3RD ST S, FULTON, NY 13069-3100
(315) 592-2400
(315) 592-2412

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041151
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02134018
NY
Enumeration date
07/08/2005
Last updated
07/08/2007
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