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NPI Code Detail

MEDICARE: JOHN DILAURA DDS

MEDICARE: JOHN DILAURA 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
11223G0001XGeneral Practice Dentistry043459NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801811567
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN DILAURA DDS
Provider Business Mailing Address
First Line : 2532 PINE AVE
Second Line :
City : NIAGARA FALLS
State : NY
Zip : 14301-2404
Country : US
Telephone Number : 716-285-8008
Fax Number :
Provider Business Practice Location Address
First Line : 2532 PINE AVE
Second Line :
City : NIAGARA FALLS
State : NY
Zip : 14301-2404
Country : US
Telephone Number : 716-285-8008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 07/08/2007

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