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Organization

JEFFREY I GOLDBERG DDS PLLC

Active
Parent organization
JEFFREY I GOLDBERG DDS PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JEFFREY I GOLDBERG DDS PLLC
Authorized official
DR. JEFFREY I GOLDBERG DDS (OWNER)
(716) 636-2222
Entity
Organization

Contact information

Practice address
1655 ELMWOOD AVE STE 100, ROCHESTER, NY 14620-3426
(716) 636-2222
(716) 636-2252
Mailing address
3980 SHERIDAN DR STE 401, AMHERST, NY 14226-1727
(716) 636-2222
(716) 636-2252

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
10/30/2018
Last updated
10/30/2018
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