is a Dental Assistant in Lackawanna, New York. practices all healthcare services and medical treatments related to Dental Assistant. The NPI Number for is 1740447663. The last update date is .
's current location address is 790 Ridge Rd, Lackawanna, New York. You can contact this provider via phone number 7168289344. The mailing address for is 790 Ridge Rd, Lackawanna, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 790 Ridge Rd, Lackawanna, New York |
| Phone Number | 7168289344 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740447663 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 790 Ridge Rd |
|---|---|
| City | Lackawanna |
| State | New York (NY) |
| Post Code | 14218 |
| Phone Number | 7168289344 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Assistant |
|---|---|
| Taxonomy | 126800000X |
| Licence No | 804 |
|
Definition: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. Th |
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