Organization
CIANCIOLA & BEACH PERIODONTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS J. CIANCIOLA D.D.S.,M.S. (SENIOR PARTNER)
(585) 458-5456
Entity
Organization
Contact information
Practice address
2005 LYELL AVE, SUITE 120, ROCHESTER, NY 14606-2323
(585) 458-5456
(585) 458-9782
Mailing address
2005 LYELL AVE, SUITE 120, ROCHESTER, NY 14606-2323
(585) 458-5456
(585) 458-9782
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
030525-2
NY
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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