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Kevin Poupore Dds Pc
Dental Clinic/Center in Malone, New York
NPI 1942926209

Kevin Poupore Dds Pc is a Dental Clinic/Center based in Malone, NY and is specialized in Dental. Kevin Poupore Dds Pc practices in Malone, NY. The NPI Number for Kevin Poupore Dds Pc is 1942926209 and holds a License No. (New York).

The current practice location address for Kevin Poupore Dds Pc is 560 E Main St, Malone, NY and can be reached out via phone at 518-483-3100 and via fax at 518-483-3109.

Location: 560 E Main St, Malone, NY, 12953-2048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942926209
Provider Name
Kevin Poupore Dds Pc
Credential
Provider Entity Type
Organization
Address
560 E Main St, Malone, NY, 12953-2048
Phone Number
518-483-3100
Fax Number
518-483-3109
Provider Enumeration Date
10/18/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457022352 01 NY NPI
1215057260 01 NY NPI
institution
Provider Business Practice Location Address Details
Address
560 E Main St
City
Malone
State
New York
Zip
12953-2048
Phone Number
518-483-3100
Fax Number
518-483-3109
person
Provider Business Mailing Address Details
Address
560 E Main St
City
Malone
State
New York
Zip
12953-2048
Phone Number
518-483-3100
Fax Number
518-483-3109
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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