Organization
PEDIATRIC DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEE COMPO (OFFICE MANAGER)
(716) 633-1991
Entity
Organization
Contact information
Practice address
13 HOPKINS RD, WILLIAMSVILLE, NY 14221-4641
(716) 633-1991
(716) 633-2435
Mailing address
13 HOPKINS RD, WILLIAMSVILLE, NY 14221-4641
(716) 633-1991
(716) 633-2435
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
036938
NY
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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