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Individual

DR. CANDACE REBECCA SCRUGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
5109 W GENESEE ST STE 101, CAMILLUS, NY 13031-2372
(315) 487-2668
(315) 487-8661
Mailing address
4000 MEDICAL CENTER DRIVE, SUITE B13, FAYETTEVILLE, NY 13066
(315) 637-4476
(315) 637-1261

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4347
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
055584
NY

Other

Enumeration date
07/03/2007
Last updated
03/20/2024
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