# ULTIMATE SMILE DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396221909
- **Authorized official:** DR. RICARDO HUERTA-ANDRADE DDS (DENTIST)
- **Authorized official phone:** (585) 820-1250

## Contact information

- **Practice address:** 7181 STATE ROUTE 96, VICTOR, NY 14564-8989
- **Practice address phone:** (585) 924-4050
- **Mailing address:** 3349 MONROE AVE STE 334, ROCHESTER, NY 14618-5513
- **Mailing address phone:** (585) 820-1250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 052271 | NY | Yes |

## Other

- **Enumeration date:** 07/17/2018
- **Last updated:** 11/22/2021