Erie Canal Endodontics, Pllc | |
1321 Millersport Hwy Ste 202 Williamsville NY 14221-2900 | |
(716) 612-3636 | |
(716) 612-3636 |
Full Name | Erie Canal Endodontics, Pllc |
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Speciality | Dentist - Endodontics |
Location | 1321 Millersport Hwy Ste 202, Williamsville, New York |
Authorized Official Name and Position | Katherine Lynn Pauly (OWNER/ ENDODONTIST) |
Authorized Official Contact | 7166123636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Erie Canal Endodontics, Pllc 1321 Millersport Hwy Ste 202 Williamsville NY 14221-2900 Ph: (716) 612-3636 | Erie Canal Endodontics, Pllc 1321 Millersport Hwy Ste 202 Williamsville NY 14221-2900 Ph: (716) 612-3636 |
NPI Number | 1205534773 |
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Provider Enumeration Date | 02/23/2023 |
Last Update Date | 05/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205534773 | NPI | - | NPPES |
1215381009 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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