Organization
GENENE CROFUT DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENENE CROFUT DDS (PRESIDENT/OWNER)
(716) 688-4501
Entity
Organization
Contact information
Practice address
2715 MILLERSPORT HWY, GETZVILLE, NY 14068-1222
(716) 688-4501
Mailing address
2715 MILLERSPORT HWY, GETZVILLE, NY 14068-1222
(716) 688-4501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051154
NY
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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