Individual
BRIAN JOHN IANNACCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8 UNION ST, BROCKPORT, NY 14420-1920
(585) 637-6550
Mailing address
90 RAINBOW DR, ROCHESTER, NY 14622-1018
(585) 544-3458
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
030408
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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