Individual
DR. JOHN FREDERICK MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6 E PARK ROW, CLINTON, NY 13323-1544
(315) 853-2412
(315) 853-3892
Mailing address
8153 KELLOGG ST, CLINTON, NY 13323-4036
(315) 853-3893
(315) 853-2892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032870
NY
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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