Fayetteville Dental Associates
NPI #1427336866 in Fayetteville, New York
Provider Information
- NPI Number
- 1427336866
- Entity Type
- Organization
- Organization Name
- Fayetteville Dental Associates
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 3, 2011
- Last Updated
- Aug 3, 2011
Practice Location
- Address
- 7000 E GENESEE ST
- Address 2
- BUILDING D
- City
- Fayetteville
- State
- New York
- ZIP Code
- 13066-1131
- Phone
- (315) 445-1321
Authorized Official
- Name
- MRS. JENNIFER MICHELLE JANOWSKI
- Title
- OFFICE MANAGER
- Phone
- (315) 409-5290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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