Dr. Maricarmen Justiniano, D.M.D
Dentist, General Practice in Lockport, NY. Individual provider (NPI-1).
NPI number1497948475
StatusActive
Last updated in NPPESAug 22, 2007
Details
- NPI
- 1497948475
- Entity type
- Individual (NPI-1)
- Name
- Dr. Maricarmen Justiniano
- Credential
- D.M.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2007
- Last updated
- Aug 22, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 053197-1 | NY | Yes |
Practice location
5875 S Transit RdLockport, NY 14094-6340
Phone 716-280-1001 · Fax 716-280-1005
Mailing address
28 Saint Anthony StLancaster, NY 14086-2388
Phone 716-208-3222
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