Organization · Type 2 NPI
Beth Brunner, Dmd, PLLC
Dental Clinic/Center · Lake Placid, NY
NPI number
1487930004
Active
Practice location
1936 Saranac Ave, Suite 101
Lake Placid, NY 12946-1114
Fax (518) 837-5093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 054553 (NY) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1487930004
Beth Brunner, Dmd, PLLC's National Provider Identifier is 1487930004, issued on Oct 27, 2011. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lake Placid, NY. The record was last updated on Apr 26, 2012.