Organization
STONEGATE ORAL SURGERY, LLP
Active
Organization
STONEGATE ORAL SURGERY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN S CASSARA DMD (PARTNER)
(585) 254-5360
Entity
Organization
Contact information
Practice address
2005 LYELL AVE, SUITE 210, ROCHESTER, NY 14606-2323
(585) 254-5360
Mailing address
2005 LYELL AVE, SUITE 210, ROCHESTER, NY 14606-2323
(585) 254-5360
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
033748-1
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
035902
NY
Other
Enumeration date
07/01/2008
Last updated
05/19/2015
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