J Bradley Ecker, DDS Pediatric Dentistry
Dentist, Pediatric Dentistry in Batavia, NY. Organization (NPI-2).
NPI number1134825185
StatusActive
Last updated in NPPESFeb 1, 2023
Details
- NPI
- 1134825185
- Entity type
- Organization (NPI-2)
- Legal business name
- J Bradley Ecker, DDS Pediatric Dentistry
- Organization subpart
- No
- Enumeration date
- Feb 1, 2023
- Certification date
- Feb 1, 2023
- Last updated
- Feb 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
413 E Main StBatavia, NY 14020-2437
Phone 858-308-9913
Mailing address
413 E Main StBatavia, NY 14020-2437
Phone 858-308-9913
Authorized official
Bradley Ecker
DDS
5853089913
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