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Organization

GROWING SMILES PEDIATRIC & ADOLESCENT DENTISTRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMANDA CRYAN DDS (PEDIATRIC DENTIST)
(716) 580-3580
Entity
Organization

Contact information

Practice address
6501 TRANSIT RD, SUITE B, EAST AMHERST, NY 14051-1427
(716) 580-3580
(716) 580-3580
Mailing address
6501 TRANSIT RD, SUITE B, EAST AMHERST, NY 14051-1427
(716) 580-3580
(716) 580-3580

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
052008
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02847652
NY
Enumeration date
02/26/2015
Last updated
02/26/2015
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