Organization
CANALSIDE DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JO TOBIN DMD (PARTNER/MEMBER)
(585) 586-2580
Entity
Organization
Contact information
Practice address
69A MONROE AVE, PITTSFORD, NY 14534-1321
(585) 586-2580
(585) 586-4924
Mailing address
69A MONROE AVE, PITTSFORD, NY 14534-1321
(585) 586-2580
(585) 586-4924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046826
NY
122300000X
Dentist
051194
NY
122300000X
Dentist
33701
NY
Other
Enumeration date
02/01/2011
Last updated
01/11/2012
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