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Individual

MS. PAULETTE RESLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9812 LOCKPORT RD, NIAGARA FALLS, NY 14304-1114
(716) 297-0798
(716) 297-0998
Mailing address
146 HAMILTON DR UPPR, SNYDER, NY 14226-4741
(716) 297-0798
(716) 297-0998

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
022520
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022520
NEW YORK STATE LICENSE
NY
Enumeration date
06/29/2015
Last updated
06/29/2015
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