Organization
CHOICE DENTAL P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL BLANK (PRESIDENT)
19177443131
Entity
Organization
Contact information
Practice address
4188 LAKEVILLE RD, GENESEO, NY 14454-1134
(917) 744-3131
Mailing address
4188 LAKEVILLE RD, GENESEO, NY 14454-1134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045344
NY
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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