Organization
EDEN FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN RIESTER DDS (OWNER)
(716) 992-9511
Entity
Organization
Contact information
Practice address
2763 W CHURCH ST, EDEN, NY 14057-1012
(716) 992-9511
Mailing address
2763 W CHURCH ST, EDEN, NY 14057-1012
(716) 992-9511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054389
NY
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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