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General NPI Number Information
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NPI Number | 1578708632
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Entity Type | Organization
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Legal Business Name | ALLCARE DENTAL & DENTURES
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 12/03/2008
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Provider Practice Location Address
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Address Line | 8203 MAIN ST SUITE 11
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6050
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Country | US
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Telephone | 716-204-4999
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Fax |
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Provider Business Mailing Address
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Address Line | 32905 GRATIOT AVE
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City | ROSEVILLE
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State | MI
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Zip | 48066-1150
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Country | US
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Telephone | 586-294-2030
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | MRS. LINDA J KUNZ
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Credential |
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Telephone | 716-204-4999
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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 |
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License Number State | NY
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