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General NPI Number Information
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NPI Number | 1134395148
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Entity Type | Organization
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Legal Business Name | DAVID M. WRIGHT, DDS, PC
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 195 CENTRAL AVE
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City | SILVER CREEK
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State | NY
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Zip | 14136-1337
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Country | US
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Telephone | 716-934-0600
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Fax | 716-934-0611
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Provider Business Mailing Address
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Address Line | 195 CENTRAL AVE
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City | SILVER CREEK
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State | NY
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Zip | 14136-1337
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Country | US
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Telephone | 716-934-0600
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Fax | 716-934-0611
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID MONROE WRIGHT
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Credential | DDS
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Telephone | 716-934-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0364211
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License Number State | NY
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