Organization
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Active
Parent organization
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Other names
WNY Dental Group at Penfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Authorized official
NICHOLE S HOLDER (DIRECTOR - PAYER ENROLLMENT)
(585) 922-0293
Entity
Organization
Contact information
Practice address
2226 PENFIELD RD, PENFIELD, NY 14526-1922
(585) 377-5810
(585) 377-1121
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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