Individual
DR. JAY RICHARD VAN DUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
33 MAIN ST, SILVER CREEK, NY 14136-1473
(716) 934-4814
Mailing address
4137 CALKINS RD, YOUNGSTOWN, NY 14174-9718
(716) 940-4545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50055130
NY
Other
Enumeration date
04/30/2009
Last updated
07/23/2014
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