| Kenmore Qualitycare Dentistry, Pc | |
|
956 Kenmore Ave Buffalo NY 14216-1450 | |
| (716) 874-7112 | |
| (716) 874-7113 |
| Full Name | Kenmore Qualitycare Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 956 Kenmore Ave, Buffalo, New York |
| Authorized Official Name and Position | Robert J Lacarrubba (PRESIDENT) |
| Authorized Official Contact | 7162975500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenmore Qualitycare Dentistry, Pc 956 Kenmore Ave Buffalo NY 14216-1450 Ph: (716) 874-7112 | Kenmore Qualitycare Dentistry, Pc 956 Kenmore Ave Buffalo NY 14216-1450 Ph: (716) 874-7112 |
| NPI Number | 1902077928 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902077928 | NPI | - | NPPES |
| GRP529003001 | Other | NY | BC/BS CHILD HEALTH PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (New York) | Primary |
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