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1619380490
JUSTIN BIRDSALL
VESTAL, NY
NPI
1619380490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 057956)
Enumeration Date
2014-06-09
Last Update Date
2015-07-27
Business Address
-- JUSTIN BIRDSALL DDS
501 PLAZA DR
VESTAL, NY 13850-3769
Phone number: 607-797-5932
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Mailing Address
-- JUSTIN BIRDSALL DDS
501 PLAZA DR
VESTAL, NY 13850-3769
Phone number:
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