Organization
JERRY G. ROTHROCK
Active
Other names
LIVERPOOL DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY ROTHROCK (OWNER)
(315) 457-4054
Entity
Organization
Contact information
Practice address
653 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6032
(315) 457-4054
(315) 453-8059
Mailing address
653 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6032
(315) 457-4054
(315) 453-8059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038230
NY
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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