| Elmwood Village Dental Care | |
|
892 Elmwood Ave Buffalo NY 14222-1413 | |
| (716) 332-2460 | |
| Not Available |
| Full Name | Elmwood Village Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 892 Elmwood Ave, Buffalo, New York |
| Authorized Official Name and Position | Robert J Lacarrubba (PRESIDENT/OWNER) |
| Authorized Official Contact | 7163322460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmwood Village Dental Care 892 Elmwood Ave Buffalo NY 14222-1413 Ph: (716) 332-2460 | Elmwood Village Dental Care 892 Elmwood Ave Buffalo NY 14222-1413 Ph: (716) 332-2460 |
| NPI Number | 1942454335 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942454335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046843-1 (New York) | Primary |
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