Organization
DIVERSIFIED DENTAL SERVICE
Active
Other names
Mark A Lowenguth
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN LOWENGUTH DDS (DENTIST/OWNER)
(585) 272-0120
Entity
Organization
Contact information
Practice address
2024 W HENRIETTA RD, SUITE C, ROCHESTER, NY 14623-1355
(585) 272-0120
(585) 272-0123
Mailing address
2024 W HENRIETTA RD, SUITE C, ROCHESTER, NY 14623-1355
(585) 272-0120
(585) 272-0123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041406-01
NY
Other
Enumeration date
10/03/2006
Last updated
08/12/2008
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