Individual
DR. ALEKSANDR MEDVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14 MINER ST, CANTON, NY 13617-1286
(315) 379-9195
Mailing address
119 MINER RD, MALONE, NY 12953-6103
(518) 483-8157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052242
NY
Other
Enumeration date
02/01/2007
Last updated
01/17/2012
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