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General NPI Number Information
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NPI Number | 1992515878
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Entity Type | Organization
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Legal Business Name | RIVER FAMILY DENTISTRY PLLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 3033 EAST AVE
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City | CENTRAL SQUARE
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State | NY
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Zip | 13036-2677
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Country | US
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Telephone | 315-668-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 12 MARTIN ST
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City | WELLSVILLE
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State | NY
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Zip | 14895-1057
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMRIT PAL SINGH
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Credential | DDS
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Telephone | 516-395-6682
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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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