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Organization
WESTERN NEW YORK DENTAL GROUP, P.C
Active
Organization
WESTERN NEW YORK DENTAL GROUP, P.C
Active
Other names
Penfield Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH FISH (CREDENTIALING MANAGER)
(217) 540-5699
Entity
Organization
Contact information
Practice address
2094 FIVE MILE LINE RD, PENFIELD, NY 14526-1450
(585) 586-2787
Mailing address
2094 FIVE MILE LINE RD, PENFIELD, NY 14526-1450
(585) 586-2787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
01/08/2025
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