Individual
DR. PATRICK A DEROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
980 WESTFALL RD, BLDG 200, SUITE 210, ROCHESTER, NY 14618-2605
(585) 256-1500
(585) 256-1514
Mailing address
980 WESTFALL RD, BLDG 200, SUITE 210, ROCHESTER, NY 14618-2605
(585) 256-1500
(585) 256-1514
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0554631
NY
1223G0001X
General Practice Dentistry
DS-036813-L
PA
Other
Enumeration date
07/19/2006
Last updated
08/18/2011
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