Organization
DEBRA A. BYERS, DMD, PC
Active
Other names
Loch Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHEAL STAHL DMD (GENERAL DENTIST)
(315) 781-9040
Entity
Organization
Contact information
Practice address
789 CANANDAIGUA RD, GENEVA, NY 14456-2001
(315) 781-9040
Mailing address
789 CANANDAIGUA RD, GENEVA, NY 14456-2001
(315) 781-9040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038765
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02172925
—
NY
Enumeration date
01/31/2012
Last updated
10/16/2015
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