Fred H A Koeniger DDS

NPI 1649392879 - Dentist - 1223G0001X

NPI Details
NPI 1649392879
Gender Male
Enumeration Date 04/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3022 CO RTE 28
WADDINGTON NY, 13694-0337, US
Phone (315) 388-5910
Fax (315) 388-5910
Business Location
PO BOX 337
3022 CO RTE 21
WADDINGTON NY, 13694-0337, US
Phone (315) 388-5910
Fax (315) 388-5910
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 022622
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According to our database, Fred H A Koeniger DDS NPI is 1649392879, taxonomy code is 1223G0001X and license number is 022622, license state is located at New York. Fred H A Koeniger DDS physically located at 3022 Co Rte 28, Waddington NY, 13694-0337. NPI Number Fred H A Koeniger DDS has the Individual type.

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1649392879 NPI number is provided on an as is basis without warranty of any kind. 1649392879 is maintained by the National Plan & Provider Enumeration System. The contents of Fred H A Koeniger DDS are for informational purposes only.