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Individual

MR. DENNIS M BUNZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4245 UNION RD, 1ST FLOOR, CHEEKTOWAGA, NY 14225-5040
(716) 632-0778
(716) 634-2679
Mailing address
4245 UNION RD, 1ST FLOOR, CHEEKTOWAGA, NY 14225-5040
(716) 632-0778
(716) 634-2679

Taxonomy

Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
NY3728
NY
156FC0801X
Contact Lens Fitter
NY3728
NY
156FX1800X
Optician
NY3728
NY
332H00000X
Eyewear Supplier
Primary
NY3728
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00622082
NY
Enumeration date
03/18/2007
Last updated
05/10/2014
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