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Mark Twichell & Annette Lukasik Dds Llp
Pediatric Dentist in Fredonia, New York
NPI 1588845416

Mark Twichell & Annette Lukasik Dds Llp is a Pediatric Dentist based in Fredonia, NY and is specialized in Pediatric Dentistry. Mark Twichell & Annette Lukasik Dds Llp practices in Fredonia, NY. The NPI Number for Mark Twichell & Annette Lukasik Dds Llp is 1588845416 and holds a License No. 0456561 (New York).

The current practice location address for Mark Twichell & Annette Lukasik Dds Llp is 85 West Main Street, Fredonia, NY and can be reached out via phone at 716-672-2854 and via fax at 716-672-5269.

Location: 85 West Main Street, Fredonia, NY, 14063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588845416
Provider Name
Mark Twichell & Annette Lukasik Dds Llp
Credential
Provider Entity Type
Organization
Address
85 West Main Street, Fredonia, NY, 14063
Phone Number
716-672-2854
Fax Number
716-672-5269
Provider Enumeration Date
11/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01549233 05 NY
02881670 05 NY
institution
Provider Business Practice Location Address Details
Address
85 West Main Street
City
Fredonia
State
New York
Zip
14063
Phone Number
716-672-2854
Fax Number
716-672-5269
person
Provider Business Mailing Address Details
Address
85 West Main Street
City
Fredonia
State
New York
Zip
14063
Phone Number
716-672-2854
Fax Number
716-672-5269
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
0456561 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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