Organization
CLOVER LEAF DENTAL PLLC
Active
Other names
Clover Leaf Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE SZCZUPAKOWSKI DDS (OWNER)
(716) 913-4274
Entity
Organization
Contact information
Practice address
59 ELIZABETH DR, LOCKPORT, NY 14094-5226
(716) 433-8332
Mailing address
59 ELIZABETH DR, LOCKPORT, NY 14094-5226
(716) 433-8332
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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