Individual
DR. GERARD S DIFUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1110 CROSSPOINTE LN, STE A, WEBSTER, NY 14580-2968
(585) 872-4400
(585) 872-3526
Mailing address
1110 CROSSPOINTE LN, STE A, WEBSTER, NY 14580-2968
(585) 872-4400
(585) 872-3526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036059
NY
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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