Portville Dental Pllc

NPI #1740494137 in Portville, New York

Provider Information

NPI Number
1740494137
Entity Type
Organization
Organization Name
Portville Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
May 9, 2007
Last Updated
Jun 15, 2010

Practice Location

Address
149 S MAIN ST
ZIP Code
14770-9703
Phone
(716) 933-6787

Authorized Official

Name
DR. OLIN BOYCE MCDIVITT, DDS
Title
OWNER
Phone
(716) 933-6787

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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