| Clover Leaf Dental Pllc | |
|
59 Elizabeth Dr Lockport NY 14094-5226 | |
| (716) 433-8332 | |
| Not Available |
| Full Name | Clover Leaf Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 59 Elizabeth Dr, Lockport, New York |
| Authorized Official Name and Position | Jacqueline Szczupakowski (OWNER) |
| Authorized Official Contact | 7169134274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clover Leaf Dental Pllc 59 Elizabeth Dr Lockport NY 14094-5226 Ph: (716) 433-8332 | Clover Leaf Dental Pllc 59 Elizabeth Dr Lockport NY 14094-5226 Ph: (716) 433-8332 |
| NPI Number | 1871294116 |
|---|---|
| Provider Enumeration Date | 03/14/2023 |
| Last Update Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871294116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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