| Lalor Creekside Dental | |
|
2521 Vestal Pkwy W Vestal NY 13850-1056 | |
| (607) 754-2217 | |
| (607) 754-0827 |
| Full Name | Lalor Creekside Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2521 Vestal Pkwy W, Vestal, New York |
| Authorized Official Name and Position | Robert Thomas Lalor (PRESIDENT) |
| Authorized Official Contact | 6077542217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lalor Creekside Dental 2521 Vestal Pkwy W Vestal NY 13850-1056 Ph: (607) 754-2217 | Lalor Creekside Dental 2521 Vestal Pkwy W Vestal NY 13850-1056 Ph: (607) 754-2217 |
| NPI Number | 1427116003 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427116003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 023266 (New York) | Primary |
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