| Youngstown Family Dentistry, P.c. | |
|
320 Lockport St Youngstown NY 14174-1104 | |
| (716) 745-7052 | |
| (716) 745-7144 |
| Full Name | Youngstown Family Dentistry, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 320 Lockport St, Youngstown, New York |
| Authorized Official Name and Position | James Douglas Trzaska (OWNER) |
| Authorized Official Contact | 7167457052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youngstown Family Dentistry, P.c. 320 Lockport St Youngstown NY 14174-1104 Ph: (716) 745-7052 | Youngstown Family Dentistry, P.c. 320 Lockport St Youngstown NY 14174-1104 Ph: (716) 745-7052 |
| NPI Number | 1568616324 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568616324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 47050-1 (New York) | Primary |
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