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Dr. Thomas Anthony Balcerak, DDS

Dentist, General Practice in Kenmore, NY. Individual provider (NPI-1).

NPI number1710071790
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1710071790
Entity type
Individual (NPI-1)
Name
Dr. Thomas Anthony Balcerak
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice045070NYYes

Practice location

2887 Elmwood Ave
Kenmore, NY 14217-1326

Phone 716-877-2275

Mailing address

2887 Elmwood Ave
Kenmore, NY 14217-1326

Phone 716-877-2275

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