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1831790500
FAYETTEVILLE FAMILY DENTISTRY
FAYETTEVILLE, NY
NPI
1831790500
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Entity Type
Organization
Authorized Contact
IMADEH NOSEGBE
Owner
315-373-0869
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2020-11-08
Last Update Date
2020-11-08
Business Address
FAYETTEVILLE FAMILY DENTISTRY
6962 HIGHBRIDGE RD
FAYETTEVILLE, NY 13066-9705
Phone number: 315-373-0869
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Mailing Address
FAYETTEVILLE FAMILY DENTISTRY
6962 HIGHBRIDGE RD
FAYETTEVILLE, NY 13066-9705
Phone number: 315-373-0869
Copy
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