Organization
ALLIANCE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA OLIVERI (PRACTICE ADMINISTRATOR)
(716) 282-4641
Entity
Organization
Contact information
Practice address
1909 PINE AVE, NIAGARA FALLS, NY 14301-2309
(716) 282-4641
Mailing address
1909 PINE AVE, NIAGARA FALLS, NY 14301-2309
(716) 282-4641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044763-1
NY
1223G0001X
General Practice Dentistry
047088-1
NY
Other
Enumeration date
09/04/2010
Last updated
09/04/2010
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