Southern Tier Dentistry

NPI #1083195754 in Lakewood, New York

Provider Information

NPI Number
1083195754
Entity Type
Organization
Organization Name
Southern Tier Dentistry
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 22, 2018
Last Updated
Aug 22, 2018

Practice Location

Address
133 E FAIRMOUNT AVE
ZIP Code
14750-1950
Phone
(716) 763-6823

Authorized Official

Name
DR. WINCHESTER LOGAN STUART, DDS
Title
PARTNER
Phone
(716) 763-6823

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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