Individual
DEBORAH L FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
505 LONG POND RD, ROCHESTER, NY 14612-3005
(585) 621-5520
(585) 621-1845
Mailing address
505 LONG POND RD, ROCHESTER, NY 14612-3005
(585) 621-5520
(585) 621-1845
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
44789
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01545931
—
NY
Enumeration date
10/05/2006
Last updated
07/08/2007
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