# EAST AVENUE DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1669649166
- **Authorized official:** DR. HARRY NORMAN ROSEN D.D.S. (MEMBER)
- **Authorized official phone:** (585) 586-5480

## Contact information

- **Practice address:** 1641 EAST AVE, ROCHESTER, NY 14610-1616
- **Practice address phone:** (585) 482-5504
- **Practice address fax:** (585) 482-5507
- **Mailing address:** 1641 EAST AVE, ROCHESTER, NY 14610-1616
- **Mailing address phone:** (585) 482-5504
- **Mailing address fax:** (585) 482-5507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 032910 | NY | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 05/13/2008