Organization
CANANDAIGUA DENTAL HEALTH, PLLC
Active
Other names
V, Brain Gagliardi, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JO ANNA S GAGLIARDI (ADMINISTRATOR)
(585) 394-5910
Entity
Organization
Contact information
Practice address
317 S MAIN ST, CANANDAIGUA, NY 14424-2118
(585) 394-5910
Mailing address
317 S MAIN ST, CANANDAIGUA, NY 14424-2118
(585) 394-5910
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
045901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045901
LICENSE
NY
Enumeration date
01/31/2007
Last updated
08/22/2020
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