Organization
FAIRPORT SMILES DENTISTRY, PC
Active
Other names
CrossKeys Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT ANTHONY BADALI (PRESIDENT)
(585) 223-8690
Entity
Organization
Contact information
Practice address
110 CROSS KEYS OFFICE PARK, FAIRPORT, NY 14450-3509
(585) 223-8690
(585) 223-8938
Mailing address
110 CROSS KEYS OFFICE PARK, FAIRPORT, NY 14450-3509
(585) 223-8690
(585) 223-8938
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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