Individual
DANA RAE BROMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6849 E GENESEE ST, FAYETTEVILLE, NY 13066-1023
(315) 452-2700
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
063193
NY
Other
Enumeration date
05/05/2022
Last updated
08/02/2023
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