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1164553079
BREWERTON FAMILY DENTISTRY
BREWERTON, NY
NPI
1164553079
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Entity Type
Organization
Authorized Contact
IMADEH R NOSEGBE
Owner
315-676-2209
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 051614)
Enumeration Date
2007-03-09
Last Update Date
2020-08-22
Business Address
BREWERTON FAMILY DENTISTRY
5501 BARTEL RD
BREWERTON, NY 13029-8701
Phone number: 315-676-2209
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Mailing Address
BREWERTON FAMILY DENTISTRY
PO BOX 830
BREWERTON, NY 13029-0830
Phone number: 315-676-2209
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