Organization
BATAVIA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVYATOSLAV SOKOLOVSKIY DDS (OWNER)
(585) 343-4246
Entity
Organization
Contact information
Practice address
6 BATAVIA CITY CTR, BATAVIA, NY 14020-2107
(585) 343-4246
(585) 343-4718
Mailing address
6 BATAVIA CITY CTR, BATAVIA, NY 14020-2107
(585) 343-4246
(585) 343-4718
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02758134
—
NY
Enumeration date
09/27/2016
Last updated
09/27/2016
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