| Great Lakes Dentistry | |
|
20 Losson Rd Ste 110 Cheektowaga NY 14227-2379 | |
| (716) 668-9700 | |
| (716) 668-9702 |
| Full Name | Great Lakes Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 20 Losson Rd Ste 110, Cheektowaga, New York |
| Authorized Official Name and Position | Amy Lynn Rappold (DENTIST) |
| Authorized Official Contact | 7166689700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Dentistry 20 Losson Rd Ste 110 Cheektowaga NY 14227-2379 Ph: (716) 668-9700 | Great Lakes Dentistry 20 Losson Rd Ste 110 Cheektowaga NY 14227-2379 Ph: (716) 668-9700 |
| NPI Number | 1275794950 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275794950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 051753 (New York) | Primary |
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