Individual
BHAGWAN DASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
653 HOWARD RD, ROCHESTER, NY 14624-1758
(585) 247-0975
(585) 247-6836
Mailing address
653 HOWARD RD, ROCHESTER, NY 14624-1758
(585) 247-0975
(585) 247-6836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
032024
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116727
UCCI TRI-CARE
NY
Enumeration date
08/23/2006
Last updated
07/08/2007
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