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Individual

ROBERT C FREIBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6800 PITTSFORD PALMYRA RD, SUITE 110, FAIRPORT, NY 14450-3584
(585) 223-5330
(585) 223-7601
Mailing address
6800 PITTSFORD PALMYRA RD, SUITE 110, FAIRPORT, NY 14450-3584
(585) 223-5330
(585) 223-7601

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
050766
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70586RF
BLUE SHIELD PROVIDER #
NY
Enumeration date
08/09/2006
Last updated
01/02/2013
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