Individual
DR. EMMANUEL BABATUNDE PUDDICOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
295 MONROE AVE, ROCHESTER, NY 14607-3660
(585) 467-4513
(585) 467-4665
Mailing address
8623 E. MAIN STREET, PO BOX 559, HONEOYE, NY 14471
(585) 229-2588
(585) 229-2496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053364
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02605329
—
NY
Enumeration date
06/01/2005
Last updated
10/05/2012
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