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Organization
MENDON DENTAL, P.C.
Active
Organization
MENDON DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES N ROLAND DDS (OWNER)
(585) 624-5886
Entity
Organization
Contact information
Practice address
30 ASSEMBLY DR STE 102, MENDON, NY 14506-9608
(585) 624-5886
(585) 624-7395
Mailing address
30 ASSEMBLY DR STE 102, P.O. BOX 399, MENDON, NY 14506-9608
(585) 624-5886
(585) 624-7395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054386
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
054966
NY
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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