| Eden Family Dental Pllc | |
|
2763 W Church St Eden NY 14057-1012 | |
| (716) 992-9511 | |
| Not Available |
| Full Name | Eden Family Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2763 W Church St, Eden, New York |
| Authorized Official Name and Position | Kirsten Riester (OWNER) |
| Authorized Official Contact | 7169929511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Family Dental Pllc 2763 W Church St Eden NY 14057-1012 Ph: (716) 992-9511 | Eden Family Dental Pllc 2763 W Church St Eden NY 14057-1012 Ph: (716) 992-9511 |
| NPI Number | 1487012837 |
|---|---|
| Provider Enumeration Date | 01/31/2016 |
| Last Update Date | 01/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487012837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 054389 (New York) | Primary |