Individual
ADINA JUCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1101 ENGLISH RD, ROCHESTER, NY 14616-2060
(585) 227-4900
(585) 225-7073
Mailing address
EASTMAN DENTAL CENTER DCBO, 625 ELMWOOD AVE BOX 683, ROCHESTER, NY 14620-2913
(585) 758-0969
(585) 475-9265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056236
LICENSE
NY
Enumeration date
09/11/2009
Last updated
08/04/2020
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