Individual
I SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4575 MAIN ST, SNYDER, NY 14226-4567
(716) 839-1470
(716) 839-3484
Mailing address
4575 MAIN ST, SNYDER, NY 14226-4567
(716) 839-1470
(716) 839-3484
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046169-1
NY
Other
Enumeration date
05/25/2007
Last updated
11/01/2019
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