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Organization
VICTOR SMILES DENTAL, PLLC
Active
Organization
VICTOR SMILES DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MORELLO (DIRECTOR OF FINANCE)
(585) 919-6624
Entity
Organization
Contact information
Practice address
7249 STATE RT-96, VICTOR, NY 14564
(585) 919-6624
Mailing address
329 S MAIN ST, CANANDAIGUA, NY 14424-2118
(585) 919-6624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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