Lockport Dental Group, P.c.

NPI #1154482818 in Lockport, New York

Provider Information

NPI Number
1154482818
Entity Type
Organization
Organization Name
Lockport Dental Group, P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 13, 2006
Last Updated
Jul 7, 2015

Practice Location

Address
39 ELIZABETH DR
ZIP Code
14094-5226
Phone
(716) 433-6004

Authorized Official

Name
DR. TODD MITCHELL RETELL, DDS
Title
PRESIDENT
Phone
(716) 433-6004

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment
Dentist - General PracticeGeneral Practice

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