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General NPI Number Information
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NPI Number | 1679925119
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Entity Type | Organization
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Legal Business Name | WEST SENECA SMILES PLLC
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 3887 SENECA STREET
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City | WEST SENECA
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State | NY
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Zip | 14224-3489
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Country | US
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Telephone | 716-674-3091
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Fax | 716-677-4600
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Provider Business Mailing Address
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Address Line | 3887 SENECA STREET
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City | WEST SENECA
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State | NY
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Zip | 14224-3489
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Country | US
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Telephone | 716-674-3091
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Fax | 716-677-4600
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Authorized Official
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Title or Position | OWNER
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Name | DR. BENJAMIN D OPPENHEIMER
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Credential |
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Telephone | 716-674-3091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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