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General NPI Number Information
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NPI Number | 1689754525
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Entity Type | Organization
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Legal Business Name | WESTERMEIER & MARTIN DENTAL CARE PLLC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 950 EAST MAIN STREET
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City | EAST AURORA
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State | NY
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Zip | 14052
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Country | US
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Telephone | 716-652-7645
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Fax | 716-652-6125
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Provider Business Mailing Address
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Address Line | 950 EAST MAIN STREET
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City | EAST AURORA
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State | NY
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Zip | 14052
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Country | US
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Telephone | 716-652-7645
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Fax | 716-652-6125
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Authorized Official
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Title or Position | MEMBER
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Name | DR. RICHARD SCOTT WESTERMEIER
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Credential | DDS
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Telephone | 716-652-7645
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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 | 0401631
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 040170
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License Number State | NY
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