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Gentledentistry Of East Aurora, PLLC

Dentist in East Aurora, NY. Organization (NPI-2).

NPI number1386967321
StatusActive
Last updated in NPPESMar 4, 2010

Details

NPI
1386967321
Entity type
Organization (NPI-2)
Legal business name
Gentledentistry Of East Aurora, PLLC
Organization subpart
No
Enumeration date
Mar 4, 2010
Last updated
Mar 4, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist047869NYYes

Practice location

215 Main St
East Aurora, NY 14052-1634

Phone 716-652-7080 · Fax 716-652-3465

Mailing address

215 Main St
East Aurora, NY 14052-1634

Phone 716-652-7080 · Fax 716-652-3465

Authorized official

Leslie Glassbrenner
Owner/President
7166527080

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