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Green Lakes Dental, Llp
Dental Clinic/Center in Fayetteville, New York
NPI 1174259212

Green Lakes Dental, Llp is a Dental Clinic/Center based in Fayetteville, NY and is specialized in Dental. Green Lakes Dental, Llp practices in Fayetteville, NY. The NPI Number for Green Lakes Dental, Llp is 1174259212 and holds a License No. (New York).

The current practice location address for Green Lakes Dental, Llp is 511 E Genesee St, Fayetteville, NY and can be reached out via phone at 315-637-4616.

Location: 511 E Genesee St, Fayetteville, NY, 13066-1524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174259212
Provider Name
Green Lakes Dental, Llp
Credential
Provider Entity Type
Organization
Address
511 E Genesee St, Fayetteville, NY, 13066-1524
Phone Number
315-637-4616
Fax Number
Provider Enumeration Date
07/30/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
511 E Genesee St
City
Fayetteville
State
New York
Zip
13066-1524
Phone Number
315-637-4616
Fax Number
person
Provider Business Mailing Address Details
Address
511 E Genesee St
City
Fayetteville
State
New York
Zip
13066-1524
Phone Number
315-637-4616
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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