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Organization

SMALL TO TALL DENTISTRY AND ORTHODONTICS CHILI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL ANTHONY MOLISANI DDS (MEMBER)
(585) 727-3538
Entity
Organization

Contact information

Practice address
3171 CHILI AVE STE 400, ROCHESTER, NY 14624-5440
(585) 889-1290
Mailing address
3171 CHILI AVE STE 400, ROCHESTER, NY 14624-5440
(585) 889-1290

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
06/10/2026
Last updated
06/10/2026
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