Organization
ULTIMATE SMILE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO HUERTA-ANDRADE DDS (DENTIST)
(585) 820-1250
Entity
Organization
Contact information
Practice address
7181 STATE ROUTE 96, VICTOR, NY 14564-8989
(585) 924-4050
Mailing address
3349 MONROE AVE STE 334, ROCHESTER, NY 14618-5513
(585) 820-1250
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
052271
NY
Other
Enumeration date
07/17/2018
Last updated
11/22/2021
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