Organization
GENTLE DENTAL CARE OF ROCHESTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL ALEJANDRO BOTANA DDS (OWNER)
(585) 467-4513
Entity
Organization
Contact information
Practice address
295 MONROE AVE, ROCHESTER, NY 14607-3660
(585) 467-4513
(585) 467-4665
Mailing address
295 MONROE AVE, ROCHESTER, NY 14607-3660
(585) 467-4513
(585) 467-4665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01431401
—
NY
05
—
02289081
—
NY
05
—
02646986
—
NY
05
—
02667485
—
NY
05
—
02808359
—
NY
05
—
02901348
—
NY
Enumeration date
05/15/2007
Last updated
07/26/2013
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