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NPI Code Detail

MEDICARE: OLINA M DULAK DDS

MEDICARE: OLINA M DULAK DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist044663NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000754217002OTHERNYBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154307171
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLINA M DULAK DDS
Provider Business Mailing Address
First Line : 195 CENTRAL AVE
Second Line : PO BOX 65
City : SILVER CREEK
State : NY
Zip : 14136
Country : US
Telephone Number : 716-934-0600
Fax Number :
Provider Business Practice Location Address
First Line : 195 CENTRAL AVE
Second Line :
City : SILVER CREEK
State : NY
Zip : 14136
Country : US
Telephone Number : 716-934-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 07/08/2007

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Directions to “ OLINA M DULAK DDS” Practice Location

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