Individual
DR. LAUREN SUZANNE ROSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3 PARK STREET, DOTY DENTAL, GENESEO, NY 14454
(585) 243-6569
Mailing address
3 PARK STREET, DOTY DENTAL, GENESEO, NY 14454
(585) 243-6569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051367
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000408997001
BC/BS
NY
05
—
01034940
—
NY
01
—
135759
GUARDIAN
NY
01
—
4012996
INDEPENDENT HEALTH
NY
01
—
917848
DORAL
NY
Enumeration date
10/11/2006
Last updated
09/14/2007
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