Individual
DR. JOHN LAWRENCE FAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
62 EMPIRE BLVD, ROCHESTER, NY 14609-4356
(585) 482-3533
Mailing address
62 EMPIRE BLVD, ROCHESTER, NY 14609-4356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043096
NY
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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