| Clarence Center Family Dental Pllc | |
|
5860 Goodrich Rd Clarence Center NY 14032-9258 | |
| (716) 741-9774 | |
| (716) 741-4469 |
| Full Name | Clarence Center Family Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5860 Goodrich Rd, Clarence Center, New York |
| Authorized Official Name and Position | Ryan Barrett Goldstein (OWNER/PARTNER) |
| Authorized Official Contact | 7167419774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarence Center Family Dental Pllc 5860 Goodrich Rd Clarence Center NY 14032-9258 Ph: (716) 741-9774 | Clarence Center Family Dental Pllc 5860 Goodrich Rd Clarence Center NY 14032-9258 Ph: (716) 741-9774 |
| NPI Number | 1124300074 |
|---|---|
| Provider Enumeration Date | 09/16/2011 |
| Last Update Date | 09/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124300074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0494591 (New York) | Primary |
Robert S Ruehrwein Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5860 Goodrich Rd, Clarence Center, NY 14032 Phone: 716-741-9774 Fax: 716-741-4469 |