Organization
ASPEN DENTAL OF ROCHESTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAWEA PARVATHANENI (MCD)
(315) 454-6000
Entity
Organization
Contact information
Practice address
2570 RIDGEWAY AVE, ROCHESTER, NY 14626-4116
(585) 225-7700
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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